8. Medical Education and Training

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Campaign Reference: NRS0587
LOCUM NON CONSULTANT HOSPITAL DOCTOR
for
Child & Adolescent Psychiatry
General Adult Psychiatry
Applicants must have current Irish Medical Council Registration
Candidates who applied for the January 2012 intake need not apply again
ADDITIONAL CAMPAIGN INFORMATION
We strongly recommend that you read this document in full and print off a copy that you can
refer to at various stages throughout the process.
NRS0587
Introduction:
The HSE National Recruitment Service (NRS) is running a recruitment and selection campaign to fill
Locum Non Consultant Hospital Doctor vacancies in the HSE Mental Health Services/Hospitals in
the following specialties:
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Child & Adolescent Psychiatry
General Adult Psychiatry
Immediate vacancies exist in the:
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Mid West Mental Health Services (Limerick, Clare & Nth Tipperary)
Dublin North East (Cavan / Monaghan Mental Health Services)
Successful candidates will be added to the National NCHD panel and be included in expressions of
interest for the immediate vacancies as well as other vacancies that may occur in the future nation
wide.
Selection Process:
The purpose of this recruitment campaign is to fill immediate vacancies in the Mid West Mental Health
Services and Dublin North East Mental Health Services*, therefore, only those applicants who are
currently registered in the General Division of the Register of Medical Practitioners maintained by the
Irish Medical Council will be processed.
*Successful candidates on the panel may be offered opportunities in other Mental Health Services.
Applicants with IMC registration will be invited to interview.
Please indicate on your application form your choices with regard to:
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Role (Senior House Officer, Registrar)
Preferred Work Location
The closing date for receipt of completed application forms is 5pm Friday 17th February 2012. If you
submitted an application for the January 2012 intake there is NO requirement for you to reapply,
January 2012 applicants who apply for this campaign will not be processed further.
Interviews form a part of the selection process. The HSE reserves the right to remove candidates
from specific recruitment panels and retract job offers if satisfactory clearances (e.g. past /current
employment references, security clearances) cannot be obtained or are unsatisfactory.
The HSE reserves the right to retract a job offer should the successful candidate be unable to fulfil the
provisions / criteria of the specific post in line with service need.
Each candidate will be assessed as to their suitability for a Role, their specialty area, their preferred
sub-specialty area (if relevant). Should the interview board determine that a candidate is suitable for
a Role, Speciality, Sub-Speciality other than that which they have applied for, this is the panel to
which you will be added. Interview boards will also determine a candidate’s suitability for stand alone
or team based roles.
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
NRS0587
How to apply:
You must use the application form particular to this campaign - “NRS0587NCHDApplicationForm”.
You may either download it as a word document from www.hse.ie/eng/staff/nchd/ and type in your
details which you can email to nchdjobs@hse.ie or print it and fill in by hand and return by post to
NCHD Bespoke Campaign, National Recruitment Services, Health Service Executive, HR-Services,
20-23 Merchant’s Quay, Dublin 8.
Candidates who have successfully completed an application form will receive a confirmation email,
within 24 hours, to the email address provided in the application stating that their application has been
successfully submitted. Candidates who do not receive a confirmation email should double check the
email address provided in their application. Only submitted applications will be accepted into the
campaign.
Please note, that from application stage onwards, the HSE will contact candidates by mobile phone,
e-mail. Some communications from other departments may be sent by post (e.g. Invitations to
interview), therefore it is most important that candidate’s mobile telephone number & e-mail
address are included in their application as well as a postal address.
It is the candidate’s responsibility to ensure that they have access to their mobile voice mails, text
messages and emails. This means that if a candidate chooses to use a work mobile and email
addresses they may receive communications that have a time deadline requirement while working
away or on leave.
The admission of a person to a competition, or invitation to attend an interview, is not to be taken as
implying that Health Service Executive are satisfied that such person fulfils the requirements of the
competition or is not disqualified by law from holding the position and does not carry a guarantee that
your application will receive further consideration. It is important, therefore, for you to note that the
onus is on you to ensure that you meet the eligibility requirements for the competition before attending
for interview. If you do not meet these essential entry requirements but nevertheless attend for
interview you will be putting yourself to unnecessary expense as the Health Service Executive will not
be responsible for refunding any expenses incurred.
Closing Date:
Your application form must reach the National Recruitment Service no later than 5pm Friday
17th February 2012.
If you do not receive an acknowledgement of receipt of your application within 2 working days of applying,
please contact the National Recruitment Services on 01 8817054.
Security Clearances:
All appointments will require satisfactory security clearances. You will be required to complete and
return a Garda vetting form should you come under consideration for appointment.
If you lived in any country from 6 months or more other than the Republic of Ireland or Northern
Ireland you will be required to provide security clearance for each jurisdiction in which you have
resided. Your security clearance must be dated AFTER you left that county and cover the entire
period of your residence. Seeking security clearances from other countries (e.g. UK, USA etc)
are the responsibility of the candidate. It is a process which can take an amount of time.
Therefore if you are interested in pursing a career within the HSE we would strongly advise that you
commence the seeking of international security clearances now.
Candidates should provide documentation in the English and/or Irish language. Translations must be
provided by a registered translation company / institute in the Republic of Ireland; all costs will be borne
by the Candidate. Only original version documents will only be accepted.
Candidates should be aware that any information obtained during the vetting process can be made
available to the employing authority.
Please see Appendix 5 for more information on international clearances.
Please note if you require overseas security clearance and are unable to produce it at the time
of job offer then the job offer may be withdrawn.
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
NRS0587
Language Requirements:
Each candidate must have sufficient command of the English language to effectively carry out the
full range of duties and responsibilities associated with the role. Your ability to communicate
effectively in English will be assessed at the interview stage of the recruitment process. Should they
not have already completed an appropriate English language competency test and obtained
certification of same, applicants may be required to demonstrate to the HSE their proficiency in the
English language. Any doctor whom the HSE deems not to be proficient in English will be required to
undertake the International English Language Testing System (IELTS). In such circumstances,
continued employment will be contingent on a minimum of 7.5 being achieved in each of the four
domains of the academic test.
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
NRS0587
Appendix 1 - Job Specification
Senior House Officer
Registrar
Job Specification, Terms & Conditions
Senior House Officer (Grade Code 1012 )
Registrar (Grade Code 1538)
Job Title, Grade
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Competition Reference
Closing Date
NRS0587
5pm Friday 17th February 2012
Proposed Interview Date(s)
Taking up Appointment
Mid-late February 2012
Immediate Start
Organisational Area
All Health Service Executive (HSE) Areas
Location of Post
There are vacancies in Child & Adolescent Psychiatry and
General Adult Psychiatry in the HSE Mental Health
Services/Hospitals.
Immediate vacancies exist in
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Details of Service
Reporting Relationship
Purpose of the Post
Principal Duties and
Responsibilities
Mid West Mental Health Services (Limerick, Clare &
Nth Tipperary)
Dublin North East (Cavan / Monaghan Mental Health
Services)
Post specific information will be provided to candidates at the
offer stage of the recruitment process
The NCHD’s reporting relationship is to the Employer via
his/her supervisory Consultant and Clinical Director (if such is
in place). The NCHD may be required to report to the
designated supervisory Consultant / Clinical Director / Head of
Academic Department on matters relating to medical education,
training and research. The NCHD will report directly to the
Employer as required.
During the appointment the successful candidate will, under the
supervision of the Consultant / Clinical Director / Employer,
participate in and deliver a quality health care service.
Appointees will be required to actively engage in continuing
professional education and development in accordance with
organisational / professional requirements.
The NCHD’s standard duties and responsibilities include, as
directed by the Consultant / Clinical Director / Employer to, inter
alia:
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participate as a member of a multi-disciplinary team in the
provision of medical care to patients;
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diagnose and treat patients;
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ensure that duties and functions are undertaken in a
manner that prioritises the safety and well being of patients;
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assess patients on admission and/or discharge as required
and write detailed reports in the case notes;
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order and interpret diagnostic tests;
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initiate and monitor treatment;
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communicate effectively with patients and clients;
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attend clinics and participate in relevant meetings, case
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
NRS0587
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conferences and ward rounds; followed by documentation
of findings on each patients chart; follow through with
actions arising from the round;
represent the department / profession / team at meetings and
conferences as appropriate
further progress knowledge of diagnosis and management;
participate in multi-disciplinary clinical audit and proactive risk
management and facilitate production of all data / information for
same;
co-operate with investigations, enquiries or audit relating to the
provision of health services;
maintain professional standards in relation to confidentiality
and ethics; abide by the Irish Medical Council ‘Guide to
Ethical Conduct and Behaviour’ (www.medicalcouncil.ie);
seek advice and assistance from the Consultant / Clinical
Director / Employer with any assigned cases or issues that
prove to be beyond the scope of his / her professional
competence in line with principles of best practice and
clinical governance;
engage in technological developments as they apply to the
patient and service administration
cover for occasional unplanned absence of colleagues;
perform other duties as required by the supervising Consultant /
Clinical Director / Employer.
Legislation / Policy / Procedures:
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co-operate with such measures as are necessary to ensure
compliance with the requirements of the European Working Time
Directive and related Irish legislation comply with statutory and
regulatory requirements, agreed training principles1 where
appropriate, corporate policies and procedures and human
resource policies and procedures (e.g. Dignity At Work, Trust in
Care, Flexible Working Scheme etc);
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co-operate with such arrangements as are put into pace to verify
the delivery of all contractual commitments;
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document appropriately and report any near misses, hazards
and accidents and bring them to the attention of relevant /
designated individual(s) in line with best practice;
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be aware of risk management issues, identify risks and take
appropriate action.
Education and Training:
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attend at NCHD Induction;
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participate in mandatory and recommended educational and
professional development programmes in accordance with
organisational / professional requirements;
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maintain and develop professional expertise and knowledge by
actively engaging in continuing professional education and
development;
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make satisfactory progress in his / her training and
development as per the requirements of the training body;
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engage in planning and performance reviews as required
with the supervising Consultant / Clinical Director / Head of
Academic Department.
Health & Safety:
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Comply with the policies, procedures and safe professional
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
NRS0587
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practice of the Irish Healthcare System by adhering to
relevant legislation, regulations and standards;
Document appropriately and report any near misses,
hazards and accidents and bring them to the attention of
relevant / designated individual(s) in line with best practice;
Work in a safe manner with due care and attention to the safety
of self and others
Be aware of risk management issues, identify risks and take
appropriate action;
Promote a culture that values diversity and respect.
Administrative:
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Ensure good working practice and adherence to standards of
best practice;
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Promote quality by reviewing and evaluating the service,
identifying changing needs and opportunities to improve
services;
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Assist the Consultant / Clinical Director / Employer in service
development, including policy development and implementation;
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Ensure the maintenance of accurate records in line with
best clinical governance, the organisation’s requirements
and the Freedom of Information Act, and provide reports
and other information / statistics as required;
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Engage in service audit and demonstrate the achievement of the
service objectives;
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Represent the department / profession / team at meetings and
conferences as appropriate;
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Keep up to date with change and developments within the Irish
Health Service.
The above Job Description is not intended to be a
comprehensive list of all duties involved and
consequently, the post holder may be required to perform
other duties as appropriate to the post which may be
assigned to him/her from time to time and to contribute to
the development of the post while in office.
This job description is a guide to the general range of duties
assigned to the post holder. It is intended to be neither
definitive nor restrictive and is subject to periodic review with
the employee concerned.
“Training principles to be incorporated into new working
arrangements for doctors in training” published by the Medical
Education and Training Group, July 2004
Eligibility Criteria
Candidates must possess, on the closing date:
Qualifications and/ or
experience
Education / Experience
Candidates are required to be registered* in the General
Division of the Register of Medical Practitioners maintained by
the Medical Council of Ireland at application stage.
Before taking up the post: Each successful candidate must
be registered on the General Division of the Reisger of Medical
Practitioners, maintained by the Medical Council of Ireland, in
accordance with the Medical Practitioners Act 2007 to take up
appointment.
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
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Health
A candidate for and any person holding the office must be fully
competent and capable of undertaking the duties attached to
the office and be in a state of health such as would indicate a
reasonable prospect of ability to render regular and efficient
service.
Character
Each candidate for and any person holding the office must be of good
character
Post Specific Requirements
Other requirements specific to
the post
Skills, competencies and/or
knowledge
Age
Age restrictions shall only apply to a candidate where he/she is
not classified as a new entrant (within the meaning of the Public
Service Superannuation Act, 2004). A candidate who is not
classified as a new entrant must be under 65 years of age on
the first day of the month in which the latest date for receiving
completed application forms for the office occurs.
* Only candidates with Irish Medical Council (IMC) General
registration at the closing date for applications will be
processed.
Registration is the responsibility of the applicant. Please visit
www.medicalcouncil.ie for full details on registration.
Will be indicated at “Expression of Interest” Stage of
recruitment process if applicable.
Further requirements may be outlined at the “expression of
interest” stage of the recruitment process
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Competition Specific Selection
Process
sufficient command of the English language to effectively
carry out the duties and responsibilities of the role. The
HSE reserves the right to require appointees to undertake a
test of English language competency at any point in their
employment;
sufficient clinical knowledge and evidence based practice to
carry out the duties and responsibilities of the role;
an ability to apply knowledge to evidence based practice;
effective team skills and leadership potential;
the ability to plan and deliver care in an effective and
resourceful manner;
an ability to manage and develop self in a busy working
environment;
the ability to effectively evaluate clinical information and make
appropriate decisions;
a commitment to assuring high standards and strive for a
patient centred service;
effective team skills;
effective communication and interpersonal skills including the
ability to collaborate with colleagues, families etc and good
presentation skills;
awareness and appreciation of the patient and the ability to
empathise with and treat others with dignity and respect;
flexibility and openness to change;
ability to utilise supervision effectively;
a willingness to develop IT skills relevant to the role.
A ranking and or shortlisting exercise may be carried out on the
basis of information supplied in your application form. The
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
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Ranking /Shortlisting / Interview
criteria for ranking and or shortlisting are based on the
requirements of the post as outlined in the eligibility criteria and
skills, competencies and/or knowledge section of this job
specification. Therefore it is very important that you think about
your experience in light of those requirements.
Failure to include information regarding these requirements
may result in you not being called forward to the next stage of
the selection process.
Code of Practice
Those successful at the ranking stage of this process (where
applied) will be placed on an order of merit and will be called to
interview in ‘bands’ depending on the service needs of the
organisation.
The Health Service Executive will run this campaign in
compliance with the Code of Practice prepared by the
Commission for Public Service Appointments (CPSA). The
Code of Practice sets out how the core principles of probity,
merit, equity and fairness might be applied on a principle basis.
The Codes also specifies the responsibilities placed on
candidates, feedback facilities for candidates on matters
relating to their application, when requested, and outlines
procedures in relation to requests for a review of the
recruitment and selection process, and review in relation to
allegations of a breach of the Code of Practice. Additional
information on the HSE’s review process is available in the
document posted with each vacancy entitled “Code Of Practice,
Information For Candidates”.
Codes of Practice are published by the CPSA and are available
on www.hse.ie in the document posted with each vacancy
entitled “Code of Practice, Information For Candidates” or on
www.cpsa-online.ie.
The reform programme outlined for the Health Services may impact on this role and as
structures change the job description may be reviewed.
This job description is a guide to the general range of duties assigned to the post holder. It is
intended to be neither definitive nor restrictive and is subject to periodic review with the
employee concerned.
Terms and Conditions of Employment
Tenure
Length of contract to be agreed at offer stage.
Remuneration
The Department of Health salary scale (01/01/10) for the post
is:
Senior House Officer: €38,839 to €54,749 (7 points)
Registrar: €50,578 to €60,305 (6 points)
Working Week
Successful candidates will be contracted to undertake duties
and provide such services as are set out in the job description
and in the manner specified in the NCHD contract for 39 hours
per week. The 39 hours are as determined by the relevant
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NCHD General Adult Psychiatry
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service roster and include a paid lunch break. The successful
candidate will be required to deliver these hours on any five
days out of the seven in a week as determined by the Employer.
Please see Section 5 of Appendix 4 (NCHD contract) for further
information
Annual Leave
Annual leave is granted in accordance with the provisions of
the Organisation of Working Time Act 1997. Please see
Section 9 (c) of Appendix 4 (NCHD contract) for further
information.
Superannuation
Membership of the HSE Employee Superannuation Scheme
applies to this appointment.
Existing Members who transferred to the HSE on 1st January
2005 pursuant to Section 60 of the Health Act 2004 are
entitled to superannuation benefit terms under the HSE
Scheme which are no less favourable to those to which they
were entitled at 31st December 2004.
Appointees to posts in the Mental Health Services which
formerly attracted fast accrual of service should note that the
terms of Section 65 of the Mental Treatment Act 1945 do not
apply to New Entrant Public Servants as defined by Section
12 of the Public Service Superannuation (Miscellaneous
Provisions) Act 2004
Probation
Every appointment of a person who is not already an
officer of the Health Service Executive or of a Local
Authority shall be subject to a probationary period of 12
months as stipulated in the Department of Health Circular
No.10/71.
Protection of Persons
Reporting Child Abuse
Act 1998
This post is one of those designated in accordance with
Section 2 of the Protection of Persons Reporting Child Abuse
Act, 1998. You will remain a designated officer for the
duration of your appointment in this post or for the duration of
your appointment to such other post as is included in the
categories specified in the Ministerial Direction. Such officers
will, on receiving a report of child abuse, formally notify the
Senior Social Worker in the community care area in which the
child is living.
Ethics in Public Office
1995 and 2001
Positions remunerated at or above the minimum point of the
Grade VIII salary scale (€ 64,812 as at 01.01.2010) are
designated positions under Section 18 of the Ethics in Public
Office Act 1995. Any person appointed to a designated
position must comply with the requirements of the Ethics in
Public Office Acts 1995 and 2001 as outlined below;
Positions remunerated at
or above the minimum
point of the Grade VIII
salary scale (€ 64,812 as
at 01.01.10)
A) In accordance with Section 18 of the Ethics in Public Office
Act 1995, a person holding such a post is required to prepare
and furnish an annual statement of any interests which could
materially influence the performance of the official functions of
the post. This annual statement of interest should be
submitted to the Chief Executive Officer not later than 31 st
January in the following year.
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NCHD General Adult Psychiatry
NRS0587
B) In addition to the annual statement, a person holding such
a post is required, whenever they are performing a function as
an employee of the HSE and have actual knowledge, or a
connected person, has a material interest in a matter to which
the function relates, provide at the time a statement of the
facts of that interest. A person holding such a post should
provide such statement to the Chief Executive Officer. The
function in question cannot be performed unless there are
compelling reasons to do so and, if this is the case, those
compelling reasons must be stated in writing and must be
provided to the Chief Executive Officer.
C) A person holding such a post is required under the Ethics
in Public Office Acts 1995 and 2001 to act in accordance with
any guidelines or advice published or given by the Standards
in Public Office Commission. Guidelines for public servants on
compliance with the provisions of the Ethics in Public Office
Acts 1995 and 2001 are available on the Standards
Commission’s website http://www.sipo.gov.ie/
Infection Control
Have a working knowledge of Health Information and Quality
Authority (HIQA) Standards as they apply to the role for
example, Standards for Healthcare, National Standards for
the Prevention and Control of Healthcare Associated
Infections, Hygiene Standards etc.
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
Appendix 2 a Hospital Groups / Mental Health Service Groups
Hospital Group /
Mental Health
Service Group
Dublin Mid
Leinster
Dublin North East
Mid West
West
Sites / Services – Sample of Sites within
Group – this is not an exhaustive list
Midland Regional Hospital Tullamore
Midland Regional Hospital Mullingar
Midland Regional Hospital Portlaoise
Naas General Hospital
St Columcille’s Hospital, Loughlinstown
Laois/Offaly Mental Health Service
Longford/Westmeath Mental Health Service
Kildare/West Wicklow Mental Health Service
St Loman’s Hospital Dublin (Psychiatry only)
Central Mental Hospital Dublin
Cavan/Monaghan Hospital
Louth/Meath Hospital Group
Connolly Hospital
Cavan/Monaghan Mental Health Services
St Brigid’s Ardee (Psychiatry only)
St Vincent’s Hospital, Fairview (Psychiatry only)
St Brendan’s Hospital, Grangegorman
(Psychiatry only)
Mid Western Regional Hospitals
Clare Mental Health Service
Limerick Mental Health Service
Limerick East & Tipperary North Mental Health
Service
Galway University Hospitals
Mayo General Hospital
Portiuncula Hosptial
Roscommon County Hospital
Sligo General Hospital
Letterkenny General Hospital
Mayo Mental Health Service
Galway Mental Health Service
Rotations
In some cases, posts will include rotations between:
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Midlands Regional Hospitals & St James’s Hospital Dublin; or
Naas General Hospital & Adelaide / Meath incorporating National Children’s Hospital
Dublin; or
St Columcille’s Hospital & St Vincent’s University Hospital; or
Midlands Regional Hospitals & Our Lady’s Children’s Hospital Crumlin; or
Midlands Regional Hospitals & Coombe Women & Infants University Hospital; or
Midlands Regional Hospitals & National Maternity Hospital
In some cases, posts will include rotations between:
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Cavan/Monaghan Hospital Group & Mater Misericordiae Hospital; or
Cavan/Monaghan Hospital Group & Children’s University Hospital Temple St; or
Cavan/Monaghan Hospital Group & Rotunda Hospital; or
Louth/Meath Hospital Group & Beaumont Hospital; or
Louth/Meath Hospital Group & Children’s University Hospital Temple St; or
Louth/Meath Hospital Group & Rotunda Hospital; or Connolly Hospital & Beaumont
Hospital
In some cases, posts will include rotations between:
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Mid Western Regional Hospital Limerick & General Hospitals in the Mid Western
Region; or
Mid Western Regional Hospital Limerick & Psychiatric Units in the Mid Western Region
In some cases, posts will include rotations between:
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Galway University Hospitals and General Hospitals in the West
Galway University Hospitals and Psychiatric Units in the West
NRS0587
South East
South West
Sligo/Leitrim Mental Health Service
Donegal Mental Health Service
Roscommon Mental Health Service
Waterford Regional Hospital
St Luke’s Hospital, Kilkenny
Wexford General Hospital
South Tipperary General Hospital, Clonmel
Lourdes Orthopaedic Hospital, Kilcreene,
Kilkenny
Carlow/Kilkenny Mental Health Service
Wicklow Mental Health Service
Wexford Mental Health Service
Tipperary South Mental Health Service
Cork University Hospital Group
Bantry General Hospital
Kerry General Hospital
Cork North Mental Health Services
Cork North Lee Mental Health Services
Cork South Lee Mental Health Services
Cork West Mental Health Services
Kerry Mental Health Services
In some cases, posts will include rotations between:
 Waterford Regional Hospital & General Hospitals in the South Eastern Region; or
 Waterford Regional Hospital & Psychiatric Units in the South Eastern Region
In some cases, posts will include rotations between:
Cork University Hospital Group & General Hospitals in the South West Region; or
Cork University Hospital Group & Psychiatric Units in the South West Region
Please see Appendix 3 for a full listing of Specialties & Sub Specialties. Please note that individual Hospital / Mental Health Service sites may not provide all
Specialties / Sub Specialites, more details on specific sites / services are provided in the next table.
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
NRS0587
Appendix 2 b Individual Site / Service Information
Hospital Group /
Mental Health
Service Group
Dublin Mid Leinster
Sites / Services – Sample of Sites within
Group – this is not an exhaustive list
Information on individual sites / services where provided
Midland Regional Hospital Tullamore
Midland Regional Hospital, Tullamore is one of the few purpose-built, stand alone hospital
buildings outside of Dublin and was opened on a phased basis between May, 2007 and
December, 2008. The hospital currently has 231 beds in operation spread across the
specialties including a 21 bed day hospital. In 2010 there were 9,337 in patient discharges and
16,507 day cases treated at the hospital and in excess of 81,822 people were seen at outpatient
clinics. In 2010 there were 28,531 attendances at the Emergency Department. Within the
Department of Medicine at Midland Regional Hospital the doctors will work across a range of
specialities ensuring excellent exposure to acute medicine. Tullamore is the regional centre for
renal medicine (with a busy and expanding dialysis service), rheumatology, oncology and
haematology. Tullamore also has a busy cardiac department offering a full range of cardiac
diagnostics including transoesophageal echo and angiography on-site. Other medical specialties
include gastroenterology and care of the elderly medicine. Tullamore is a designated screening
centre for the planned national colorectal cancer screening programme. Current service
developments include a new Acute Medical Assessment Unit; rapid access clinics and
enhanced day hospital services. Tullamore is an affiliated teaching centre of both University
College Dublin and Limerick University medical schools. All doctors enjoy good access to library
facilities, on-line educational resources and teleconference links to external educational
meetings. There is an active local educational programme with regular grand rounds, X-ray and
histology conferences, journal club and medical audit meetings. Tullamore is a centre for RCPI
membership examinations and offers consultant tutorials to individuals preparing for this
examination. There is an active research programme at the hospital with an opportunity for all
staff to get involved. Previous doctors working at Tullamore have enjoyed the friendly
atmosphere and have consistently rated highly the learning experience here, we hope you will
too. Within the Surgical Department services are provided by three Consultant Surgeons. A
full range of general surgery is currently provided including extensive day surgery. The Unit
caters for both elective and emergency admissions. There is also a dedicated Pre-Assessment
Nurse attached to the Surgical Department whose main objectives is to improve patient
education, reduce cancellations of surgery due to patients being assessed prior to admission, To
facilitate informed consent, and to enhance efficiency and clinical excellence of patient care. This
is a nurse-managed, patient focus initiative, insuring efficient and effective use of resources. All
trainees in the department have excellent training opportunities. The Surgical Ward is a
purposed built Unit with dedicated isolation room, private and semi-private accommodation
together with six bedded wards. We have four main theatres and two day theatres with a
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Midland Regional Hospital Mullingar
dedicated Endoscopy Suite attached to the Day Ward. We also have an on site MRI Scanner,
16 Slice CT Scanner with 4.5 Consultant Radiologist attached to the Radiology Department we
also have a PACS System available in Theatres, Out-Patients and every Ward. The hospital has
four major operating theatres along with two day theatres, an endoscopy suite and a minor
procedures room. The Orthopaedic Unit at the Midland Regional Hospital Tullamore is the
Regional Centre for the Midlands with a population of 250,000 approximately. Outlying
outpatient clinics are held in Mullingar on a weekly basis and monthly in Athlone. It is a
combined trauma and elective unit with 2 state of the art clean air theatres and 2 dedicated
orthopaedic wards. There are a wide variety of auxiliary services at the Hospital to assist with
the quick turnaround of patients. The ENT Department at the Midland Regional Hospital
Tullamore is the Regional Centre for the Midlands. There are three Consultants in this
department. Teaching is consultant led with hands on teaching experience in Theatre and in the
Out Patient Department. All doctors have access to library facilities, on-line educational
resources and teleconference links to external educational meetings. Emergency Medicine
Department (ED) in Tullamore is staffed by 3 Consultants, 2 Specialist Registrars, 1 Clinical
Fellow, 3 Registrars and 5 SHOs. There is a dedicated ED induction programme and regular
protected teaching. Successful applicants will be supported in attending appropriate life support
courses and in the completion of audit and research projects. Presentation at national and
international Emergency Medicine meetings is encouraged. Consultants’ special interests include
Orthopaedics, Sports Medicine, Emergency Ultrasound and Research. The department has now
developed a separate research unit. The consultants are examiners for the Membership and
Fellowship of the College of Emergency Medicine (MCEM/FCEM). The Department is
recognised for basic and higher specialist training in Emergency Medicine. All Rotas are
European Working Time Directive compliant. The Anaesthetic Department has an active
teaching programme and provides a high level of training and supervision for all trainees.
There are seven full time Consultant Anaesthetists attached to the Department who also have
responsibility for the ICU Department. The ICU Unit has the following available :- ABG Machine;
Hemodynamic monitoring – invasive and non-invasive facility for renal dialysis and
Haemofiltration. Site-rite for central venous cannulation and PICCO for Cardiac Output
Monitoring. We recently installed the Ward Watcher IT package especially dedicated to the ICU
Unit for recording and reporting on information on critical care patients. The Anaesthetic
Department was commissioned together with the new Theatres in December 2008 and all
facilities are state of the art, newly purchased and commissioned.
Regional Specialties provided at Midland Regional Hospital Tullamore include: Ear, Nose &
Throat, Orthopaedics, Oncology, Haematology, MRI, Renal Dialysis Ophthalmic Services are
provided on an out-patient basis locally, with inpatient services provided at the Royal Victoria
Eye and Ear Hospital, Dublin.
The Midland Regional Hospital at Mullingar is part of the Dublin/Midlands Hospital Group. The
aim of the Hospital is to deliver a quality driven people centred service to the population of
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Dublin/Midlands and in particular the Longford/Westmeath area. The Hospital is currently
operating with 190 beds (172 inpatient, 12-day beds and a 6-bedded Medical Assessment Unit)
and provides a range of services, on a 24-hour basis. In 2010, the Hospital had 19,121 inpatient
discharges with an average length of stay of 3.28 days and dealt with 7,024 day case
procedures. There were 3,001 deliveries recorded and 31,877 E.D. attendances.
A list of the specialties at the Hospital are set out hereunder: Services provided are: Emergency
Medicine The clinical workload in the Emergency Department comprises acute medical, surgical
and trauma emergencies and children with surgical and trauma related problems. The
department is busy but the training opportunities and experience more than compensate for this.
It is staffed from 08:00-24:00. Between midnight & 8am the on call teams provide cover. We
enjoy excellent relations with the in patient specialties including radiology. We are involved in a
dynamic 24 hour stroke thrombolysis service which includes telemedicine consults using RP7
robot. Educational opportunities include departmental teaching, 5 mornings per week, grand
rounds, and one to one teaching. Support will be provided with audits and research. General
Medicine including Endoscopy, Gerontology, Respiratory Medicine, Endocrinology, Cardiology
and Stroke We have a strong emphasis on acute medicine training and you will rotate through
the medical assessment unit, emergency department, and several subspecialties from
endocrinology, cardiology, respiratory medicine, gastroenterology and geriatric medicine,
including acute stroke thrombolysis service. The on call rota is approximately 1 in 8. Each
registrar will be mentored by one of the consultants to aide with career progression, and a lot of
our registrars progress to posts in larger teaching hospitals or the SpR programmes. The
registrar will be expected to partake in teaching of students and MRCPI candidates, clinical audit
and research. There is ample access to the library and internet and weekly academic training
include endocrine tutorials, journal club, ECG and data interpretation, live video linked Beaumont
Grand Rounds, radiology conference, and in house grand rounds. There is periodic live webcast
of the RCPI Masterclass series and RCP Edinburgh webcasts. General Surgery The
Department of Surgery is a three Consultant Unit affiliated with The Royal College of Surgeons in
Ireland. The Department provides a wide range of Surgical services to population of Westmeath
and Longford Counties. One would expect NCHDs to gain extensive exposure to Laparoscopic
Surgery as most of G I Surgery and Billiary Surgery is being carried out Laparoscopically.
Paediatric and wide range of General surgery exposure would be provided. A very busy
Paediatric and Maternity department is well served by Surgical department providing an ideal
opportunity for an NCHD to gain experience in these fields. There is busy Surgical Endoscopy
Service that provides in valuable experience in Upper and Lower GI Endoscopy, both Diagnostic
and Therapeutic. Department is affiliated with College of Surgeons and NCHDs are expected to
take active part in academic activities including research and audit. Obstetrics & Gynaecology
Obstetrics and Gynaecology is a busy, progressive department with over 3000 deliveries per
annum and a large and varied gynaecological workload. There is a dedicated EPU, urodynamics
and ambulatory hysteroscopy. Advanced endoscopic and urogyn surgery is carried out. There
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Midland Regional Hospital Portlaoise
are three Consultants in the Department. A 24 hour on call system is in place with a rest day off
each week. There is a weekly departmental lunch meeting with additional monthly perinatal and
xray / ultrasound meetings. The hospital is an affiliated teaching hospital of RCSI and ample
opportunity is provided for preparation for higher exams. Paediatrics The Paediatric
Department at the Midland Regional Hospital Mullingar is staffed by three Consultants
Paediatricians. With just under 3,000 deliveries last year, a busy A&E and exposure to a variety
of Paediatric subspecialties (Diabetes, Adolescent and community Paediatrics) through
outpatient activity, the NCHDS are assured excellent exposure and training. Departmental
teaching programme includes journal club, topic presentations, consultant led interactive
sessions, in house grand rounds, X-Ray and Perinatal conference. There is great opportunity for
research and audit and the Department publishes regularly in national and international journals.
This is an affiliated teaching hospital for Royal College of Surgeons with the undergraduate
teaching led by Consultant Paediatrician and Senior Lecturer for RCSI. Anaesthesia The
Anaesthetic Department is accredited for BST Anaesthesia training by College of Anaesthetists
in Ireland. It is a dynamic department with an active teaching programme. There are regular
tutorials and practice examinations given by consultants who are College examiners. The
Department has instructors for ACLS, APLS courses, conducts Echocardiography, Airway
workshops and provides excellent training opportunities. Anaesthetic on-call commitment involve
1:5 roster covering ICU, maternity services and emergency department. The Hospital also
provides diagnostic Radiological and Pathology services as well as Physiotherapy, Occupational
Therapy, Speech & Language Therapy, Cardiac Diagnostic and Rehabilitation Services,
Pulmonary Function Laboratory and Respiratory Services.
The Midland Regional Hospital at Portlaoise is part of the Dublin Midlands Hospital Group.
It is a dynamic and efficient centre and is an affiliated teaching hospital of the RCPI. The
hospital is located just off the M7 in the outskirts of Portlaoise town and is only 50 minutes
away Dublin. The hospital is currently a 200-bed hospital, which includes a 50-bed
Psychiatric Unit and provides a range of services. In 2010 the hospital treated 13,082 in
patients, 4,683 day patients and 53,203 people were seen at out patient clinics. There were
2,329 Births at the hospital in 2010. In 2010 there were 41,825 attendances at the Accident
& Emergency Department (including Paediatric and Maternity). For the period January to
May 2011 – 17,624 Accident & Emergency attendances (including Paediatric and Maternity)
A list of the specialties at the Hospital are set out hereunder:- Emergency Medicine The
Emergency Department at the Midlands Regional Hospital, Portlaoise is a new purpose built
department attending to the needs of approximately 24,000 new patients each year. This
position is suitable to applicants who have both experience in Emergency Medicine and in
related surgical specialties and is supported by two visiting consultants in Emergency
Medicine who provide education, training and review clinics for soft-tissue injuries. Care for
medical patients will be provided by the General Medical Registrars team. Rosters are
EWTD compatible and support is given for those who wish to attend examinations or life
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support courses. General Medicine There are three Consultant Physicians in the Medical
Department. Weekly academic training includes journal club, ECG and data interpretations,
radiology conference, and in-house grand rounds. There is periodic live webcast of the RCPI
Masterclass series and RCP Edinburgh webcasts. We take pride in our SHOs passing the
MRCPI exams and run a clinical tutorial programme leading up to the exam. We support
career progression and engage in active mentoring of each SHO. There will be ample
opportunity to get involved in clinical audit and research. General Surgery There are 3
Consultant Surgeons in the Surgical Department. There is periodic live webcast of the RCPI
Masterclass series and RCP Edinburgh webcasts. We take pride in our SHOs passing the
MRCS exams. We support career progression and engage in active mentoring of each SHO.
There will be ample opportunity to get involved in clinical audit and research.
Obstetrics/Gynaecology There are three Consultant Obstetrician/Gynaecologists in the
Department. A 24 hour on call system is in place. There is a weekly departmental lunch
meeting with additional monthly perinatal and x-ray/ultrasound meetings. The hospital will
give ample opportunity for preparations for higher exams. Paediatrics The Paediatric
Department at the Midland Regional Hospital Portlaoise is a modern Paediatric unit with a
dedicated Paediatric A/E. There is exposure to a variety of Paediatric subspecialties
(Diabetes, Asthma and community Paediatrics) through outpatient activity, the NCHDS are
assured excellent exposure and training. Departmental teaching programme includes journal
club, topic presentations, consultant led interactive sessions, in house grand rounds, X-Ray
and Perinatal conference. There is great opportunity for research and audit. This is an
affiliated teaching hospital for UCD with the undergraduate teaching led by a Consultant
Paediatrician. Anaesthesia The Anaesthetic Department is accredited for BST Anaesthesia
training by College of Anaesthetists in Ireland. It is a dynamic department with an active
teaching programme. There are regular tutorials and practice examinations given by
consultants who are College examiners. The Department has instructors for ACLS, APLS
courses, conducts Echocardiography, Airway workshops and provides excellent training
opportunities. Anaesthetic on-call commitment involve 1:4 roster covering ICU, maternity
services and emergency department.
Naas General Hospital
Naas General Hospital is a 243 bedded acute hospital based in the County of Kildare with a population
base of 200,000 persons. The hospital provides general medical, surgical and acute psychiatric
services and a 24 hour Emergency Department services to its immediate catchment population of
Kildare/West Wicklow. A Day Hospital for the elderly provides services to the older population in the
area and an Oncology Day ward provides treatment for patients with oncology and haematology
conditions. Naas General Hospital is currently aligned with Adelaide & Meath Hospital, Incorporating
the National Children's Hospital (AMNCH) in Tallaght. Many of the hospitals consultant posts are joint
appointments between the two sites. Naas General Hospital also provides facilities for the Antenatal
services from the Women’s Hospital in the Coombe and dental services for Kildare West/Wicklow. Naas
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General Hospital is a teaching hospital with students attending parts of their placements from Trinity
College, University College Dublin, Royal College of Surgeons, Dublin Institute of Technology and
University of Limerick. Naas General Hospital is also part of the Dublin Mid Leinster GP Training
scheme and provides training posts and facilities for this programme. Naas General Hospital provides
diagnostic facilities for over 100 General Practitioners in the catchment area and there is an active
hospital GP group in operation. The hospital treats close on 10,000 inpatients per annum, over 3000
day cases, more than 25,000 patients attending the Emergency Department and in excess of 45,000
Outpatients per annum. The OPD specialities include: Diabetics/Endocrinology, Dietetics, Respiratory,
Social Work, Pulmonary Function, Cardiology, Oncology, Dermatology, Orthopaedics. The hospital has
an active Quality and Risk Programme in place that is committed to promoting a culture in which patient
safety, clinical risk and quality management will continue to develop as an integral and seamless
component of the care process. Our national health service is facing a period of considerable change
and our hospital is well positioned to take advantage of these changes and to meet future challenges
including requirement for new ways of working and the continued provision of a high quality safe
service to our clients. The hospital moved into a new facility over a period of time from 2002 to 2005
when various areas of the new building were commissioned and populated including: 4 x 31-bed wards
and new 4 bed ICU & 6 bed CCU, Day Hospital for the Elderly, Pharmacy Department, Accident &
Emergency Department, Administration Block, Medical Physics Department, Out Patients Department,
Cardiology / Cardiac Rehab Pulmonary Laboratory, Pathology Laboratory, Radiology, including CT
Scanning Theatre, Oratory, Additional car parking. A new state of the art CSSD (Central Sterile
Services Dept) was commissioned and became operational in December 2008. A ten bedded stroke
unit was established in May 2008. A new Acute Medical Assessment Unit with 6 places and a Transit
Unit for Discharged Patients came on stream August 2011. The latter facilitates the freeing up of beds
earlier in the day. The 243 beds in Naas General Hospital are comprised of: Medical 154, Surgical 31,
Acute Psychiatry 30, ICU, CCU 10, Medical/Surgical Day Ward 12, Oncology Day Ward 6. A range of
diagnostic and support services, including radiology, pathology, physical medicine and pharmacy
services are provided on site and the hospital continues to develop increased direct access to these
services to the local primary care services. All Nurses, Doctors and Allied Health Professionals practice
in a progressive, competent and knowledge based manner and provide patient centred care that is
underpinned by best international practice /evidence and ongoing professional development.
St Columcille’s Hospital, Loughlinstown
St. Columcille’s is an acute hospital with 106 beds serving the population of SE Dublin and East
Wicklow (Pop.160, 000). A 24/7 Emergency Medicine service is provided. Specialties include
Cardiology, Endocrinology, Care of Elderly and Respiratory Medicine along with Orthopaedic,
Urology, Vascular and General Surgery. There is an ICU/CCU unit, Day Care Hospital (Elderly)
and cardiac rehabilitation unit. A 24 hr pathology service is provided. Radiology diagnostic
services are on-site. Medical SpRs, Regs, SHOs & Interns rotate through the Medical Specialties
during employment at the Hospital. They will also participate in the General Internal Medicine
on-site, on-call services provided at the Hospital. Orthopaedic & Urology SHO participate in
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Laois/Offaly Mental Health Service
General Surgical on-site on-call services along with Surgical Regs, SHOs & Interns. This service
is also supported by the Urology Registrar. A comprehensive lunch time lecture and educational
programme is well established at the hospital to support the educational and training experience
during employment. Each team is allocated a day with responsibility for topic that is presented.
The Emergency Medicine Service is operated on a regional basis across three sites (SCHL,
SVUH & SMH). A 2 day course on Emergency Medicine (www.emed-induction.ie) is held in
December and all successful candidates are encouraged to attend. A weekly education
programme is held in the ED at SCHL on Thursday mornings in addition to the Regional EM
education programme at SVUH which all NCHDs employed within the region are welcome to
attend. St. Columcille's Hospital Specialities include: General Medicine , Acute elderly
assessment and rehabilitation, Intensive/Coronary care, General Surgery, Vascular Surgery,
Gynaecology, Dental Surgery, Urology, Cardiology, Emergency Medicine (24/7) Tel: (01) 282
5800 Fax: (01) 282 5686 Hospital Manager: Mr. Tom Mernagh
Laois/Offaly Mental Health Services is based at St. Fintan’s Hospital, Portlaoise with sector
based services in Birr, Tullamore and Portlaoise. There are 14 posts approved by the College of
Psychiatry of Ireland as follows: 6 in general adult psychiatry, 2 in Psychiatry of old age, 1 in
Rehabilitation/liaison psychiatry. 3 in Child & Adolescent Psychiatry and 2 in Intellectual
disabilities (2 of the above posts are Snr Registrar posts).Clinical presentations, Audit and
research are encouraged in each post. Internet access and library facilities are available for all
NCHDs. Comprehensive in-house teaching, case conferences, tutorials and consultant
supervision. Regular training and exam preparation for MRCPsych and CASC.
Protected time for weekly Teaching Programme. Experience in Psychotherapy and Cognitive
Behavioural Therapy also provided.
For further information please contact: Dr. Henry O’Connell, Consultant Psychiatrist/Clinical
Tutor at (057) 8670245.
Longford/Westmeath Mental Health
Service
Longford/Westmeath Mental Health Services is based at St. Loman’s Hospital, Mullingar, Co
Westmeath with sector based services in Athlone, Longford and Mullingar. There are 11 posts
approved by the College of Psychiatry of Ireland as follows: 6 in General Adult Psychiatry, 2 in
Psychiatry of Old Age, 1 in Child & Adolescent Psychiatry 1 in Substance Misuse and 1 in
Intellectual Disabilities (rotated every 6 months with Laois/Offaly Scheme).Clinical presentations,
Audit and Research are encouraged in each post. Internet access and library facilities are
available for all NCHDs. Comprehensive in-house teaching, case conferences, tutorials and
consultant supervision. Regular training and exam preparation for MRCPsych and CASC.
Protected time for weekly Teaching Programme. Training in Psychodynamic, Psychotherapy
and Cognitive Behavioural Therapy are also provided.
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For further information please contact: Dr. Michael O’Cuill, Consultant in Old Age/Clinical Tutor
at (044) 9384363.
Dublin South Central Mental Health
Service
Dublin South Central Mental Health Service, (based at ST JAMES’S HOSPITAL, Dublin 8),
Main Features Based at St James's Hospital, the largest teaching hospital in Ireland. 13 posts
approved by the College of Psychiatry of Ireland and the Royal College of Psychiatrists: 8 in
general adult psychiatry, 2 psychiatry of old age, 2 liaison psychiatry and 1 homeless and
perinatal psychiatry Special interests sessions available in substance misuse and addictions,
liaison psychiatry, psychiatry of old age, psychiatry of intellectual disability, child and adolescent
psychiatry, psycho-oncology, psychotherapy, neurology, neuro-imaging, neuropsychological
testing, academic psychiatry, psychiatric genetics. Unrivalled experience and wide variety of
clinical presentations Audit and research encouraged in each post. Internet access and library
facilities maintained for all NCHDs. Comprehensive in-house teaching, case conferences,
tutorials and consultant supervision. For further information please contact: Dr Paul Scully, MB,
DPM, MRCPsych, MD, Consultant Psychiatrist, Jonathan Swift Clinic, St James’s Hospital,
Dublin 8. Tel: +353 1 4162621 Fax: +353 1 4103474 Email: pscully@stjames.ie Prof Aiden
Corvin, MB, MRCPsych, MD, Consultant Psychiatrist, Jonathan Swift Clinic, St James’s Hospital,
Dublin 8. Tel: +353 1 4162621Fax: +353 1 4103474 Email: acorvin@tcd.ie
Dublin South Central Mental Health Service, (Adelaide and Meath Hospital, Tallaght),
Main Features: Regular training and exam preparation for MRCPsych from current CASC
examiners (Dr. E. Kenny and Dr. P. Whitty). Unique opportunity to work in Homecare and
Assertive Outreach Community Teams. Opportunities for Research and Audit and protected
time for weekly Teaching Programme. Experience in First-Episode and Early Intervention
Programme, Psychotherapy and Cognitive Behavioural Therapy for Psychosis. Dr. Peter Whitty
MD, MRCPsych, Consultant Psychiatrist and Clinical Tutor, Adelaide and Meath Hospital,
Tallaght, Dublin 24. Tel: +353 1 414 3300 Fax: +353 1 414 4734 email: peter.whitty@hse.ie, Dr.
Eamonn Kenny MB, MRCPsych, Consultant Psychiatrist and Clinical Tutor, Adelaide and Meath
Hospital, Tallaght, Dublin 24. Tel: +353 1 414 3300 Fax: +353 1 414 4734 email:
eamonn.kenny@hse.ie
Dublin South West / Kildare/West Wicklow
Mental Health Service
Kildare/West Wicklow Mental Health Services is a community based, general adult, mental
health service serving a population of 230,000 with 29 inpatient beds at Lakeview Unit, Naas
General Hospital. There are 14 NCHD posts approved by the College of Psychiatry of Ireland
and by the Royal College of Psychiatrists. Library facilities maintained for all NCHDs. Protected
time for weekly in-house teaching programme, case conferences, tutorials, consultant
supervision and opportunities for Research and Audit. The Tutor is Dr. Pat Gibbons, Celbridge
Health Centre, Maynooth Road, Celbridge, Co. Kildare, Tel 01 630 3163, email
pat.gibbons@hse.ie
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Dublin North East
St Loman’s Hospital Dublin (Psychiatry
only)
Central Mental Hospital Dublin
Cavan/Monaghan Hospital
Louth/Meath Hospital Group
Connolly Hospital
No Longer Applicable. Acute beds provided at Adelaide & Meath Hospital, Tallaght as above.
Cavan/Monaghan Mental Health Services
Cavan/Monaghan Mental Health service provides comprehensive, integrated, multi-disciplinary
community based adult mental health services that are responsive to the needs of individuals,
families/carers and the community and that assist patients to achieve their maximum potential.
Services are delivered to the geographic catchment (approx.120,000 population) of counties
Cavan and Monaghan, through four consultant-led specialist multidisciplinary teams.
There are two Adult Community Mental Health Teams (CMHTs), one team per county, both
Connolly Hospital is located in the West Dublin Village of Blanchardstown. It serves a catchment
population of 331,000 in Dublin West, (including Finglas West and Lucan) North Kildare and
South County Meath and is one of the fastest growing catchment population areas in the country.
Connolly Hospital is a Major Academic Teaching Hospital providing a range of acute medical and
surgical services, acute psychiatric services, long stay care, day care, out patient, diagnostic and
support services. Emergency services are provided on a 365-day, 24 hour basis. Multidisciplinary teams representative of medical, nursing, allied health professionals, management
and general support staff play a pivotal role in the development, delivery, monitoring and
evaluation of these services. The hospital is affiliated to the Royal College of Surgeons in
Ireland (RCSI) for medical education to Dublin City University (DCU) for nursing education and to
University College Dublin (UCD), Trinity College Dublin (TCD) and the Institute of Technology for
allied health professional education. A Regional Centre for Nurse Education is located on site.
The hospital completed a €96m development project in 2004. This has provided a range of new
state of the art facilities including Wards, Theatres, Emergency Department, Intensive Care,
Coronary Care, Day Surgery and Concourse/Reception. In 2009 a €12m capital project was
completed including a new 64 slice CT Scanner, renovation of the old surgical block to facilitate
transfer of rehabilitation, acute medicine for the elderly and endoscopy. Hospital Specialties
Specialty areas included in service provision in Connolly Hospital are outlined below:
Anaesthesia and Intensive Care, General Medicine, Orthopaedics, Acute Medicine for the Elderly
/ Rehab / Day Hospital / Extended Care, General Surgery, Pathology, Cardiology, Gynaecology,
Plastic Surgery, Dermatology, Haematology, Radiology, Emergency Department, Intensive
Therapy, Respiratory Medicine, Endocrinology, Microbiology, Rheumatology, ENT, Neurology,
Urology, Gastroenterology, Oncology, Vascular Medicine, General Adult Psychiatry, Psychiatry
of Old Age, Ophthalmology. Bed Numbers The hospital has a total of 354 inpatient beds and 53
day beds. Cancer Screening Centre In February 2011 Connolly Hospital was selected as one of
15 National Colorectal Cancer Screening centres, the only centre selected in North Dublin.
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incorporating Home-based Treatment as a core service. There is a single point of referral from
the community through the patient’s general practitioner and an emphasis on effective primary
care liaison as supporting best practice. A Community Rehabilitation Service (CRS) provides for
patients with complex rehabilitation needs (serving both counties), Referrals to this service,
which incorporates assertive outreach, are made from the 2 CMHTs. The Psychiatry of Later Life
service also serves both counties and incorporates home-based assessment and treatment,
active outreach to community residential settings and liaison with primary care for new referrals
over age 65 years. There is a long-standing and successful partnership with the RCSI both in
research and under-graduate medical education with established positions of RCSI Senior
Lecturer, Tutor and Research Registrar. An ongoing stream of epidemiological and servicerelated research has resulted in a series of peer-reviewed publications and recognition at a
national and international level. There is an active clinical & academic programme for postgraduate training and peer review for consultant psychiatrists.
Recent service developments:
A single, custom-designed, Acute Admission Unit serving both counties Cavan Monaghan has
been developed with an additional ½ time Consultant Psychiatrist position recruited with
responsibility for acute in-patient care. A ½ time Consultant Psychiatrist position has been
developed to lead on the Mental Health Liaison services to Cavan General Hospital
An Early Intervention Programme for first episode psychosis has been developed. COPE (Care
Pathway to Overcome Psychosis Early) is largely modelled on the successful DETECT
programme. Offer the following sub specialties: General Adult Psychiatry, Psychiatry of Old Age,
Rehabilitation Psychiatry and Child & Adolescent Psychiatry. CM Adult MHS is a community
based service with an acute admission unit in Cavan General Hospital. Child & Adolescent
Psychiatry is located in Rooskey in Monaghan and in Drumalee Cross in Cavan. There is a
separate Child & Adolescent Psychiatry multidisciplinary team for each County and there is
liaison to Cavan General Hospital from both teams. NCHDs working in Child & Adolescent
Psychiatry may be on the Adult Psychiatry on call rota. A population of 73,000 is served in Cavan
and a population of 60,500 is served in Monaghan. The Child & Adolescent Psychiatry NCHDs
also attend the organised teaching/training locally along with the NCHDs from the other
Psychiatric Specialties. There is a strong emphasis on learning.
Louth/Meath Mental Health Services
including St Brigid’s Ardee (Psychiatry
only)
St Vincent’s Hospital, Fairview (Psychiatry
only)
Louth Meath Mental Health Services includes St. Brigid's Hospital,Ardee, Co. Louth and The
Department of Psychiatry based at Our Lady's Hospital, Navan, Co. Meath - requires NCHDs in
Psychiatry.
St. Vincent’s Hospital Fairview is a stand alone psychiatric hospital serving much of the north
inner city catchment area. There is a 30 bedded acute unit with 6 dedicated high dependency
beds, a dedicated rehabilitation unit, an inpatient adolescent unit and a unit dedicated to
Psychiatry of Old Age. Services are delivered in these dedicated inpatient units with
multidisciplinary teams attached to each sector. A day hospital, day centres, supported hostels
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and sector outpatient clinics are all part of the community service. The hospital has strong links
with the Mater Hospital with trainees rotating to liaison and community posts there. The
Psychotherapy Department focus on providing both teaching and supervision in psychotherapy
and run training courses on a regular basis. There are a number of training positions in General
Adult Psychiatry and subspecialties such as Child and Adolescent Psychiatry and Rehabilitation
Psychiatry are also represented. Most of these positions are part of the Mater/UCD Basic
Specialist Scheme. A number of GP trainees attached to GP training schemes also work in St.
Vincent’s. The training experience in St. Vincent’s Hospital, Fairview is broad in that trainees get
to work in socially deprived catchment areas, with migrant and homeless groups overrepresented offering a unique and challenging training experience. The community mental health
teams are well developed allowing exposure to multidisciplinary team working with an everexpanding home-based treatment service. There is a strong culture of clinical audit and
research, with research links to UCD, Trinity College and the RCSI. If you require any more
information, please log on to the hospital website www.svhf.ie. If you have any queries, please
contact Dr. Aoife O’Neill, Consultant Psychiatrist and Mater UCD Scheme Coordinator : 018842465
Mid West
West
St Brendan’s Hospital, Grangegorman
(Psychiatry only)
Mid Western Regional Hospitals
Mid West Mental Health Services
Mental Health Services (In-patient / Out-Patient) are provided for the counties of Limerick, Clare
& Nr. Tipperary PCCC. The post holder will be placed in a designated Consultant led Team and
will be under the supervision of the Consultant Psychiatrist. NCHD’s will be required to rotate
between Service Locations. Access to own transportation required.
Galway University Hospitals
Mayo General Hospital
Portiuncula Hosptial
Roscommon County Hospital
Sligo General Hospital
Letterkenny General Hospital
Letterkenny General Hospital (LGH) is an acute general and maternity Hospital, which forms an
integral part of the Health Service Executive North West Region. The Hospital aims to deliver a
patient-centred, quality-driven focused service and provides a wide range of diagnostic and
support services. LGH is a teaching hospital with links to the Royal College of Surgeons, Royal
College of Physicians and have a new Medical Academy on site linked to the National University
of Ireland Galway. At Letterkenny General Hospital, there is an emphasis on providing an
environment conducive to quality learning for all NCHDs, with structured teaching programmes
and supports. Letterkenny General Hospital is a 340 bed hospital, and provides a wide range of
acute hospital services on an in-patient, day-case and out-patient basis. The older part of the
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hospital includes the Emergency Department, Outpatients Department, Radiology, Pharmacy,
Laboratory, 3 Medical Wards, Acute Psychiatric Unit, Cardiac Investigations,
Haematology/Oncology Ward and Coronary Care Unit. Directly linked by a connecting corridor is
a five storey block commissioned in 1981, incorporating Day Services (including Oncology &
Endoscopy Unit), Gynaecology, Maternity, Medical Ward, Orthopaedics, Surgical Wards,
Theatre, Intensive Care, Physiotherapy, Occupational Therapy and CSSD. In 2001, a new four
storey block was commissioned consisting of the Oncology Unit, Maternity Suite/Theatre and
Renal Dialysis Unit. Recently contract work has nearly finished on the new Emergency
Department and Medical Wards at the Hospital with the project due to be completed in early
2012. The new Emergency Department will incorporate an 11 bedded Medical Assessment Unit
and X-Ray room and will have19 treatment spaces The new facility will provide also 3 medical
floors which will consist of a total of 72 beds, two thirds of which will be provided in single rooms,
which will be state of the art and to the highest infection control standards. It is envisaged that
this will greatly improve the facilities and waiting times for our patients. Work has also recently
started on construction of a new Acute Mental Health Unit on campus with aprojected finish date
of March 2011. The catchment area incorporates patients residing in the County Donegal north
of Laghey/Pettigo with a population of 140,000. The Hospital has a total of 340 in-patient beds
and 18 Day Care beds. We will have NCHD vacancies in a number of different speacilities and
invite you to apply to this dynamic acute teaching hospital. For more information contact Janet
Doherty Medical Manpower Manager Letterkenny General Hospital 074 91 23694
South East
Mayo Mental Health Service
Galway Mental Health Service
Sligo/Leitrim Mental Health Service
Donegal Mental Health Service
Roscommon Mental Health Service
Waterford Regional Hospital
St Luke’s Hospital, Kilkenny
Wexford General Hospital
South Tipperary General Hospital,
Clonmel
Lourdes Orthopaedic Hospital, Kilcreene,
Kilkenny
Carlow/Kilkenny Mental Health Service
Wicklow Mental Health Service
Wexford Mental Health Service
Tipperary South Mental Health Service
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Cork University Hospital Group
Bantry General Hospital
South West
Kerry General Hospital
Cork North Mental Health Services
Cork North Lee Mental Health Services
Cork South Lee Mental Health Services
Cork West Mental Health Services
Kerry Mental Health Services
Bantry General Hospital provides acute general hospital services to the population of a unique,
rural, very large geographical area encompassing West Cork and South Kerry. The area extends
from the Beara and Sheep’s Head Peninsulas in the south to Kenmare in the west, Macroom and
Clonakilty in the north and Timoleague in the east and includes several inhabited islands. Travel
times to Cork city are up to three hours by car from parts of the mainland catchment area of the
hospital.The hospital is a 118-bedded acute general hospital and provides, within available
resources, a large range of inpatient, outpatient and day case services in response to identifying
needs and in accordance with the principles of equity, people centeredness, quality and
accountability. Services General Medicine, which includes coronary, Diabetes Care, ICU and
Medical Assessment Unit in keeping with the National Acute Medical Review , General Surgery,
which includes Casualty Services, Old Age Medicine, which includes a 12 bedded Rehabilitation
and Assessment Unit and 4 Acute Stroke Beds, Care of the Elderly & Respite Care, Radiology.
Palliative Care
Mental Health Services, Outpatient Department, Day surgery provided by Outreach Consultants
in the following specialties: Laparoscopic surgery , Gynaecology, The following additional
Specialist Out-Patient Services are provided by Visiting Consultants: - Orthopaedic, Paediatric,
Maternity, Orthoptic , Gynaecology, Laparoscopic surgery, Dermatology Services, Support
Services are provided as follows: Endoscopy Suite, Physiotherapy Department, Laboratory
Department, Outpatient Department, Portering, Catering, Pharmacy, Housekeeping Medical
Records Department/Administration Department, A 24-bed continuing care unit for older people
serving the catchment area is also located in the hospital, with 5 beds allocated to respite care
and 1 designated Palliative Care Suite. An 18-bedded Acute Psychiatric Unit serving the
catchment area is also located in the hospital grounds
Specialities / sub specialties available: General Surgery, General Medicine including Medicine for
the Elderly (acute), Palliative Medicine, Orthopaedics, ENT, General Paediatrics, Gynaecology,
ITU, CCU, Neonatal, Ante / Post, Geriatric, Geriatric, Endoscopy, Oncology, Dialysis, Labour
Suite, Emergency Department, Psychiatry
The area served comprises Cork & Kerry including a mix of urban and rural areas with a
total population of 620,000. The main urban centres are Cork City, and Tralee, Co.
Kerry. The full range of psychiatric services are provided including general adult, child &
adolescent mental health, psychiatry of later life, liaison psychiatry, learning disability
services, rehabilitation psychiatry along with psychiatric intensive care & forensic
psychiatry. There are 5 catchment areas for General Adult services. The main clinical
sites are: Kerry General Hospital in Tralee, providing general adult and rehabilitation
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psychiatry while Child & Adolescent mental health services are provided by the Brothers
of Charity in Tralee. West Cork adult mental health services are based at Bantry which is
an 18 bedded unit and has a well developed community psychiatry ethos. North Cork
adult mental health services are based at St Stephen’s Hospital near Glanmire in Co
Cork. There is also a rehabilitation service located there with units throughout the
catchment area. South Lee mental health services are the largest service in the region
and are based at Cork University Hospital (CUH). The Professorial Psychiatric Unit is
also located there, as are General adult mental health services, psychiatry of later life and
liaison psychiatry services. CUH is a major tertiary hospital offering most medical and
surgical subspecialties. North Lee mental health services are located at Mercy University
Hospital and along with general adult and liaison psychiatry, the service also includes a
Home Based Crisis Team serving the North side of Cork City. The psychiatric intensive
care unit for the region is based at Carraig Mor Centre in the North Lee area & forensic
psychiatry experience is available through this attachment. Child & Adolescent mental
health services in Cork are provided through the HSE based at City General Hospital and
the Brothers of Charity based at Mahon and Lota. An inpatient adolescent unit has
recently opened at St Stephen’s Hospital. There is a strong teaching programme on
each site, including weekly case conferences and Journal Club along with supervision
from the Supervising Consultant. The Academic Programme is held every Thursday. We
are pleased to provide a Mock examination centre. There are mock written papers
annually and mock CASC bi-annually. Professor Dinan’s research spans both basic
laboratory and clinical neuroscience. His laboratories are based in the Biosciences
Institute on the UCC Campus and his clinical research takes place in Cork University
Hospital. His research focuses both on depression and irritable bowel syndrome. The
BST Scheme offers psychotherapy experience and supervision in a variety of modalities,
including psychodynamic psychotherapy and cognitive-behavioural therapy. The formal
teaching programme includes theoretical teaching on psychotherapy also.
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Appendix 3 Specialties & Sub specialties
Senior House Officer (SHO)
Registrar
Specialty
Sub-specialty
Specialty
Sub-specialty
Child &
Adolescent
Psychiatry
General Adult
Psychiatry
Child & Adolescent Psychiatry
Child & Adolescent
Psychiatry
N/A
General Adult Psychiatry
General Adult Psychiatry
Psychiatry of Learning
Disability – Adult
Psychiatry of Learning
Disability - Child
Psychiatry of Old Age
Psychiatry of Learning
Disability
Substance Misuse
Forensic Psychiatry
Liaison Psychiatry
Rehabilitation Psychiatry
Substance Misuse
Psychiatry of Learning Disability –
Adult
Psychiatry of Learning Disability Child
N/A
Psychiatry of Old Age
N/A
Forensic Psychiatry
Psychotherapy
N/A
Psychotherapy
Please note that some Hospital Groups / Mental Health Service Groups sites may not provide all Sub
Specialties associated with a Specialty.
Forensic Psychiatry
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Appendix 4 NCHD Contract
Contract of Employment for
Non-Consultant Hospital Doctors
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22nd January 2010
Table of Contents
Preamble ................................................................................................................... 3
1. Purpose and Commencement Date ...................................................................... 4
2. Registration Status and Designation of Post ......................................................... 4
3. Reporting Relationship .......................................................................................... 4
4. Location and Residence ........................................................................................ 4
5. Hours of Work ........................................................................................................ 5
6. Standard Duties and Responsibilities .................................................................... 6
7. Locum cover .......................................................................................................... 7
8. Medical Education and Training ............................................................................. 7
9. Leave and Holidays............................................................................................... 7
10. Salary................................................................................................................. 10
11. Unsocial hours / premium payments ................................................................. 10
12. Overtime payments ........................................................................................... 10
13. On-call off-site ................................................................................................... 11
14. Living Out Allowance ......................................................................................... 11
15. Training Supports .............................................................................................. 11
16. Allowances and payments to General Practice Registrars ................................ 12
17. Incremental Credit ............................................................................................. 12
18. Travelling expenses for attendance at interview ................................................ 13
19. Relocation expenses ......................................................................................... 13
20. Superannuation .................................................................................................. 13
21. Disciplinary / Grievance Procedures.................................................................. 13
22. Policies and Procedures.................................................................................... 14
23. Confidentiality ................................................................................................... 14
24. Records and Property ....................................................................................... 14
25. Clinical Indemnity .............................................................................................. 14
26. Review ............................................................................................................... 14
27. Acceptance of Contract ...................................................................................... 14
Appendix I – NCHDs basic salary and allowances as of 1 January 2010 ................. 16
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Preamble
This document is comprised of the following:
a) Terms and Conditions;
b) Appendices;
This contract takes precedence over any inconsistent provision in previously agreed documents
regulating the terms and conditions of employment of Non-Consultant Hospital Doctors. Where there
is any conflict between any provision of the contract document and any prior instrument, the provision
in this contract document should prevail.
For the purposes of this contract, the term Non-Consultant Hospital Doctor (NCHD) refers to persons
employed in the public health service in Ireland as Interns, Senior House Officers, Registrars, Senior
Registrars, Specialist Registrars or otherwise for the purpose of providing medical or dental services
and/or the pursuance of medical or dental training who for the purposes of such employment are not
employed as Consultants.
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1. Purpose and Commencement Date
a) This is a contract of employment between ____________ (name and address of Employer) and
_______________ (name and address of employee). _____________ (Name of employee 2) is
appointed to the post of a _________________ (state grade and specialty) with effect from the
_______________ (insert date). The Contract is (delete as appropriate):
i)
for a fixed term / purpose as follows:____________________;
ii)
Should the contract be for a fixed term, the Unfair Dismissals Act, 1977 – 2001 shall not apply
to the NCHD’s dismissal consisting only of the expiry of the contract on the specified date.
The NCHD’s employment may be terminated by notice in accordance with the Minimum
Notice and Terms of Employment Act 1973 – 2001: or
of indefinite duration.
b) A candidate for and any person holding the office must be in a state of health such as would
indicate a reasonable prospect of ability to render regular and efficient service.
c) Should the contract be for a fixed term / purpose it will generally commence on the second
Monday of January or the second Monday of July. This provision shall come into effect from 1st
July 2010.
2. Registration Status and Designation of Post
a) Once the NCHD has commenced employment, continued employment in this post is contingent
on (delete as appropriate):
i)
the NCHD being registered in accordance with the Medical Practitioners Act 2007 with the
Register of Medical Practitioners maintained by the Medical Council of Ireland and
maintaining his/her professional competence on an on-going basis pursuant to any Medical
Council professional competence scheme applicable to the NCHD as a medical practitioner
registered by the Medical Council of Ireland; or
ii) in relation to a post designated as a Non-Training Post, the NCHD being registered in
accordance with the Medical Practitioners Act 2007 on the General Division of the Register of
Medical Practitioners maintained by the Medical Council of Ireland maintaining his/her
professional competence on an on-going basis pursuant to any Medical Council professional
competence scheme applicable to the NCHD as a medical practitioner registered by the
Medical Council of Ireland; or
iii) in relation to a post designated as a Training Post (including Intern posts), the NCHD being
registered on the Specialist Trainee Division of the Register of Medical Practitioners
maintained by the Medical Council of Ireland and participating as required in a programme of
Intern training recognised by the Medical Council of Ireland or in a programme of specialist
training under the auspices of a postgraduate medical training body recognised by the
Medical Council of Ireland.
3. Reporting Relationship
The NCHD’s reporting relationship is to the Employer via his/her supervisory Consultant and Clinical
Director (if such is in place). The NCHD may be required to report to the designated supervisory
Consultant / Clinical Director / Head of Academic Department on matters relating to medical
education, training and research. The NCHD will report directly to the Employer as required.
4. Location and Residence
a) The NCHD’s appointment shall be to _______________ (name of HSE area / HSE funded
Hospital / Agency). The NCHD’s employment location(s) is _____________.
2
Hereafter referred to as ‘The NCHD’
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b) The NCHD’s employment location may be changed within the functional area and service range
applicable to his/her Employer. Due consideration will be given to the registration status of the
NCHD with the Medical Council of Ireland should a change in location be required.
c) In circumstances where a change of location is required, (e.g. - hospital closures or major
changes taking place in the character of the work being carried out there) the NCHD will be
offered an alternative appointment in an appropriate discipline. In the first instance this will be
within the (Hospital Network Area / HSE funded Hospital / Agency). The NCHD shall be consulted
should (s)he be required to change to an employment location outside the (Hospital Network Area
/ HSE-funded Hospital / Agency). Subject to the provisions of the removal expenses scheme for
the Health Service Executive, removal expenses shall be payable, if claimed.
5. Hours of Work
a) The NCHD is contracted to undertake such duties / provide such services as are set out in this
Contract in the manner specified for 39 hours per week. The 39 hours are as determined by the
roster and include a paid lunch break.
b) The NCHD is required to deliver these hours on any 5 days out of the 7 in a week as determined
by the Employer.
c) For the avoidance of doubt, the provisions of Section 5 a) and b) above are subject to amendment
in accordance with Clause 2.3 of the agreement made between the Health Service Executive and
the Irish Medical Organisation on the 22nd day of January 2010.
d) When rostered to attend on any day Monday to Friday, the NCHD must work a minimum shift of 6
hours. When rostered to attend on Saturday or Sunday, the NCHD must work a minimum shift of
5 hours.
e) The NCHD shall not be required to work for more than 24 consecutive hours on-site.
f)
The Employer will ensure that the NCHD is rostered to work on-site for a period of 24 hours on no
more than a 1 in 5 basis other than in exceptional circumstances.
g) Rosters must provide for a handover period between each shift. Handover periods must be of at
least 30 minutes in duration.
h) The NCHD may not be rostered to work a split shift3.
i)
The NCHD may be required to:
i)
ii)
provide overtime services (on-call on-site services) on-site in addition to the 39 hours.
provide on-call off-site services outside core and/or overtime hours as determined by the
Clinical Director / Employer;
iii) work beyond his/her rostered period in line with the exigencies of the service. The Employer
will endeavour to ensure that this will be an exceptional rather than a standard requirement.
j)
A minimum notice period of 2 weeks will apply for provision of initial rosters.
k) The NCHD shall not be required to attend on-site on a rostered day off (including leave) outside
the 2 week minimum notice period where the requirement for such attendance can be reasonably
anticipated by the employer.
l)
A minimum notice period will apply for changes to published rosters taking account of the need for
shorter notice to respond to clinical need on an unplanned basis,
3
A split shift is an employment schedule where the employee's normal work day is split in to 2 or more segments. For example
an NCHD could not be rostered to work from 9 am to 2pm and then have a break until 8pm at which point they would be
rostered to return to work until midnight.
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m) Where the NCHD is provided with more than one rostered day off during a week, the Employer
should endeavour to ensure such days are consecutive.
n) The NCHD shall comply with such agreed arrangements as are put into place by the Employer for
measurable and transparent systems of continuously monitoring adherence to working time
legislation.
m) Work outside the confines of this contract is not permissible if the combined working time
associated with this employment taken together with any other employment exceeds the
maximum weekly working hours as set out in S.I. No. 494 of 2004 European Communities
(Organisation of Working Time) (Activities of Doctors in Training) Regulations 2004.
6. Standard Duties and Responsibilities
a) The NCHD’s standard duties and responsibilities include, as directed by the Consultant / Clinical
Director / Employer to, inter alia:
i)
participate as a member of a multi-disciplinary team in the provision of medical care to
patients;
ii) diagnose and treat patients;
iii) ensure that duties and functions are undertaken in a manner that prioritises the safety and
well being of patients;
iv) assess patients on admission and/or discharge as required and write detailed reports in the
case notes;
v) order and interpret diagnostic tests;
vi) initiate and monitor treatment;
vii) communicate effectively with patients and clients;
viii) further progress knowledge of diagnosis and management;
ix) participate in multidisciplinary clinical audit and proactive risk management and facilitate
production of all data/information for same;
x) co-operate with such arrangements as are put into place to verify the delivery of all
contractual commitments;
xi) co-operate with such measures as are necessary to ensure compliance with the requirements
of the European Working Time Directive and related Irish legislation;
xii) co-operate with investigations, enquiries or audit relating to the provision of health services;
xiii) comply with statutory and regulatory requirements, agreed training principles 4 where
appropriate, corporate policies and procedures and human resource policies and procedures
(e.g. Dignity at Work, Trust in Care, Flexible Working Scheme etc.);
xiv) attend at NCHD Induction. Induction training before the commencement of the employment
relationship is not paid, while induction training during the currency of the employment
relationship is paid;
xv) perform other duties as required by the supervising Consultant / Clinical Director / Employer.
b) Additional duties and responsibilities related to this post may be set out in the job description as
issued by the Employer.
c) The NCHD is entitled during his/her employment to regular review of his/her performance including MET/Research performance – by and together with the designated supervisory
Consultant / Clinical Director / Head of Academic Department.
d) When carrying out these duties, the NCHD shall abide by the Irish Medical Council ‘Guide to
Ethical Conduct and Behaviour’ (copy available directly from the Medical Council or at
www.medicalcouncil.ie).
Training Principles to be incorporated into new working arrangements for doctors in training” published by the Medical
Education and Training Group, July 2004
4
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7. Locum cover
a) The NCHD will be expected to cover for occasional unplanned absence of colleagues.
b) Subject to a) above, in the event of the NCHD being absent, the Clinical Director / Employer will
determine the requirement for locum cover and make necessary arrangements.
c) Management are obliged to operate this provision so as to ensure strict compliance with the
requirements of the European Working Time Directive and related Irish legislation.
8. Medical Education and Training
a) For the purposes of NCHD education, training and the maintenance of NCHDs professional
competence, the employer shall, in line with the requirements of the Medical Practitioners Act
2007, facilitate as appropriate the training / competence assurance requirements of NCHD posts.
b) For the purposes of education, training and the maintenance of professional competence, the
NCHD shall, in line with the requirements of the Medical Practitioners Act 2007:
i)
participate in and satisfy the requirements of any programme of Intern training (s)he is
registered on as defined by the Medical Council of Ireland; or
ii) participate in and satisfy the requirements of any programme of specialist training (s)he is
registered on as defined by the relevant postgraduate medical training body recognised by
the Medical Council of Ireland; or
iii) participate in and satisfy the requirements of any competence assurance programme (s)he is
registered on as defined and delivered by the Medical Council of Ireland and/or a
postgraduate medical training body recognised by the Medical Council of Ireland for that
purpose.
c) The NCHD may, subject to the agreement of the Employer, make an explicit structured and
scheduled commitment to educational activities in line with the educational and training
requirements described at b) above. This will include paid non-clinical training days (or part of as
appropriate)5 as required by the relevant programme of specialist training / competence
assurance. Such structured and scheduled commitment and responsibility and accountability for
same will be agreed in advance by the Employer with the relevant Training Body or University, will
be consistent with the agreed training principles for postgraduate medical education and training6
and shall be incorporated into rosters.
9. Leave and Holidays
a) All requests for leave must be recommended by the supervising Consultant / Clinical Director and
approved by the Employer prior to actual leave dates. Leave will be approved in line with agreed
rota and service requirements, and notice is required in accordance with the Employer’s policies.
b) Unplanned absence. The Employer is responsible for addressing any staffing requirement (if any)
that arises from unplanned absence by the NCHD.
c) Annual leave
Annual leave is granted in accordance with the provisions of the Organisation of Working Time
Act 1997. NCHDs are entitled to 16 calendar days leave per 6 month period. Calendar days are
inclusive of weekends, hence if a doctor takes a full weeks annual leave, it equates to 7 calendar
days. Payment of notional hours while on annual leave will be paid on the basis of average
approved rostered hours over a reference period of 13 weeks.
5
As of January 2010 these include paid non-clinical training days for Senior Registrars and Specialist Registrars – each of
whom are entitled to the equivalent of one day per week with full pay for individual and specific research projects. It also applies
to a range of trainees in Psychiatry and General Practice.
6
‘Training Principles to be incorporated into new working arrangements for doctors in training’, published by the Medical
Education and Training Group, July 2004.
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The total hourly leave of an NCHD in a six month period is 93.6 hours. A single day's leave is
calculated as being 7.8 hours, with a full weeks leave equating to 39 hours. The doctors leave for
a 6 month period must not exceed the hourly total for the period.
An NCHD cannot be considered to have taken more than 39 hours leave in any one week.
d) Public holidays
Public holidays shall be granted in accordance with the Organisation of Working Time Act 1997.
In respect of each public holiday the NCHD will receive one of the following (as the Employer may
decide):

An NCHD who normally works Monday – Friday and who has their public holidays off, is not
entitled to an additional day off in lieu of the public holiday.

An NCHD who is rostered for duty on the day on which a public holiday falls is entitled to
single time extra remuneration in respect of hours worked on this day.

NCHDs who work a ‘5 over 7’ roster are entitled to a total of 9 working days (7.8 hours per
day) in lieu of the liability to be rostered on a public holiday. In terms of the practical
implementation of this entitlement, 4 days fall due in respect of the period from the second
Monday in January to the second Monday in July and 5 days apply in respect of the period
from the second Monday in July to the second Monday in January.
e) Sick Leave
The NCHD shall comply with the Employer’s sick leave policy. The following points should be
noted:
i)
ii)
iii)
iv)
v)
vi)
vii)
viii)
f)
On the first day of illness, the NCHD should arrange to advise his/her supervising Consultant /
Clinical Director and Medical Administration/Hospital Administration at the earliest possible
time (where possible not later than 1 hour before starting time) of the absence from work. In
the case of night duty, where possible notice should be given not later than 3.00 p.m. on the
day in question. The supervisors should be advised of the reason(s) and the expected
duration of the absence.
If the absence exceeds two continuous days, a medical certificate must be submitted to the
Employer on the third day. This certificate should specify the nature of the illness, the likely
duration (but not exceeding one week) and should be signed by the NCHD’s General
Practitioner or attending Consultant.
The NCHD must give an indication of when he/she will be able to return to work as early as
possible.
The NCHD may be granted payment under the Sick Pay Scheme for absences due to illness
or injury. Granting of sick pay is subject to compliance with the Employer’s sick leave policy.
To qualify for payment in respect of absence on sick leave, NCHDs must have completed 6
months service in the Irish public health service.
During the first 12 months of service, NCHDs may be granted up to 6 weeks basic pay (less
appropriate Social Welfare mandate).
During the second and third years of service, NCHDs may be granted up to 12 weeks basic
pay (less appropriate Social Welfare mandate).
On completion of 3 years service, NCHDs may be granted sick pay in accordance with the
sick pay provisions covering other officer grades (less appropriate Social Welfare mandate).
Maternity Leave
i) The Employer will give due regard to rostering of a pregnant NCHD who presents a
medical certificate requiring a change in work pattern.
ii)
Pregnant NCHDs are entitled to the following benefits:
(1) 26 consecutive weeks maternity leave.
(2) Up to 16 weeks additional unpaid maternity leave.
(3) Time off work without loss of pay to attend ante natal and post natal appointments.
(4) Health and safety leave in certain circumstances.
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(5) Where the death of the mother occurs within 18 weeks of the birth, the balance of her
leave is transferred to the father of the child.
(6) Protection of your job during maternity leave, additional maternity leave, fathers
leave, health and safety leave and time off for ante natal and post natal care.
(7) The right not to be dismissed for any pregnancy related reason from the beginning of
pregnancy until the end of maternity leave.
iii) While on maternity leave, an NCHD will receive her normal basic pay and Living Out
Allowance, less any amount attributable to overtime, night work or shift work, unsocial
hours payments, or on call fees. NCHDs are entitled to maternity pay from their existing
employer for a full 26 week period, including in circumstances where the contract expires
prior to the end of their maternity leave.
iv) Paid maternity leave will count as service in all respects e.g. for the purpose of annual
leave, incremental credit etc. Maternity leave will not be treated as part of any other leave
(including sick leave or annual leave) to which you are entitled. Full details are available
in employee handbook.
g) Parental Leave
Arrangements for the taking of parental leave will be in accordance with the provisions of the
Parental Leave Act, 1998.
h) Adoptive Leave
Arrangements for the taking of adoptive leave will be in accordance with the provisions of the
Adoptive Leave Act, 1995 to 2005. An NCHD is entitled to 24 consecutive weeks’ (paid) adoptive
leave and 16 consecutive weeks’ additional (unpaid) adoptive leave subject to compliance with
the notification requirements.
i)
Paternity Leave
A male NCHD is entitled to three days special leave with pay on the birth of his child. This leave
may be taken at the time of the birth or up to four weeks after the birth. Job-sharers and other
NCHDs with flexible working arrangements are entitled to paternity leave on a pro rata basis. In
the case of adoption, the leave may be taken on or up to four weeks after the date of placement
of the child. In respect of stillbirths, which occur after the 24th week of pregnancy, fathers are
entitled to paternity leave. In the cases where two or more children are born or two or more
children are adopted, the entitlement to paternity leave will be three days for each child, e.g.
where twins are born the father is entitled to six days paid leave.
j)
Educational Leave
i) The Employer may, taking account of the NCHD’s medical education and training status,
grant the NCHD up to a maximum of 18 working days (based on a 7.8 hour working day) per
6-month period to facilitate:
(1) Attendance at courses, conferences, and educational events determined to be
appropriate by the HSE, the recognised postgraduate training bodies and the
Universities;
(2) Study leave prior to an examination or repeat examination for higher degrees or diplomas
determined to be appropriate by the HSE, the recognised postgraduate training bodies
and the Universities;
(3) Attendance at examinations determined to be appropriate by the HSE, the recognised
postgraduate training bodies and the Universities;
(4) Attendance at interviews within the Irish public health service appropriate to the NCHD’s
training / career pathway;
ii)
All educational leave must:
(1) be relevant,
(2) take account of service and rota needs,
(3) be recommended by the supervising Consultant / Clinical Director and
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(4) be approved by the Employer in advance in line with the Employer’s leave policy and with
cognisance of the requirements of any specialist training / professional competence
scheme the NCHD is participating in and related medical education and training
requirements.
k) Other types of leave
Details regarding paid and unpaid, Force Majeure, Trade Union, Compassionate and other leave
can be obtained from the Employer. The particular arrangements applying to NCHDs in respect of
Maternity leave are outlined in the Employer’s Terms & Conditions of Employment
documentation.
l)
Other HR policies
All other generally applicable human resource policies, e.g., Flexible Working, Trust in Care,
Dignity at Work, etc. shall apply to the NCHD.
10. Salary
a) The salary scale for this post is _________. The starting point is €_____ (the current salary scale
is attached as Appendix I). The NCHD’s salary is paid monthly/fortnightly by Credit Transfer
(state frequency of payment).
b) A shift premium of T1/6 is payable to NCHDs working in Emergency Departments in respect of
participation in a continuous rotating shift which requires delivery of the core 39 hours over a 24
hour, 7-day week cycle. Normal overtime arrangements apply after 39 hours.
c) This salary is fully inclusive of payment for all duties which the NCHD may be required to perform
within the average 39 hours worked each week apart from other fees payable by the Department
of Social and Family Affairs and/or other State Agencies on the basis of custom and practice.
The salary includes rostered lunch breaks.
d) This salary will be revised in accordance with relevant provisions of the National Pay Agreements
or other national agreements.
e) Statutory deductions in relation to PAYE and PRSI will be made from the NCHD’s remuneration.
f)
The NCHD shall not demand or accept payment from any person in respect of the personal
provision of professional medical/dental services. The NCHD may engage in professional
medical/dental practice exclusively for an Employer(s) and on behalf of the Mental Health
Commission, the Coroner, other Irish statutory bodies7 and medical/dental education and training
bodies recognised by the Medical Council of Ireland.
11. Unsocial hours / premium payments
NCHDs, in line with all other health service staff, are paid at single time extra for normal rostered
hours during Sunday or a Public Holiday, i.e. for every hour that the NCHD works on a Sunday or
Public Holiday (s)he will receive one extra hours pay.
12. Overtime payments
a) Overtime refers to work on-call on-site as required by the Employer in excess of the average 39
hours worked in each week of the roster period.
b) All hours worked in excess of the averaged 39 hours each week are liable for payment at time
and a half.
c) Where the NCHD is rostered to work in excess of 39 hours in any week as part of a roster
covering a number of weeks, payment may be calculated in such a manner as to provide for
payment of:
7
An indicative list of such bodies is available from the HSE Employers Agency, 63-64 Adelaide Road,
Dublin 2, tel: 01 6626966, web: www.hseea.ie
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i)
ii)
no more than 39 hours for each week worked during the roster period at the standard hourly
rate;
all additional hours8 in excess of i) above at the rate of time and a half.
d) All overtime hours worked on a Sunday or public holiday are paid the rate of single time extra.
e) Unrostered overtime approved by the relevant Consultant / Clinical Director will be paid to the
NCHD. The Employer may query such unrostered overtime or approval of same. Should a query
be made, the NCHD will be notified of same. Payment will be made subsequent to any queries
regarding such unrostered overtime being resolved
13. On-call off-site
a) On-call off-site is defined as a period when the NCHD, is scheduled for a designated period to be
off-site but available for emergency work. The NCHD providing on-call off-site makes a specific
commitment to be readily available to attend or be in attendance at the employment locations
specified during the on-call period.
b) The NCHD provides on-call off-site on a rostered basis.
c) On-call off-site is paid at the rate of time and 1/4 for the first 10 hours and the rate of 1/2 time
thereafter. Additionally, NCHDs who are rostered for on-call off-site on a Sunday are paid at the
rate of 0.75 time for those on-call from home and frequently called upon and 0.6 time for those
on-call from home and infrequently called upon.
d) Once called and required to attend on-site, NCHDs are paid the normal overtime rate set out a
Section 12 above.
e) The employer will pay the cost of landline telephone installation and rental to those NCHDs
rostered off-site on-call.
14. Living Out Allowance
The NCHD shall receive a Living Out allowance where the employer does not provide adequate free
accommodation in accordance with the relevant Department of Health and Children salary scales.
15. Training Supports
a) NCHDs are free to select particular structured specialised training programmes, opportunities or
courses and make application to participate in same.
b) Individual NCHDs working within the public health service who are registered on and participate in
structured specialised training programmes as defined by the relevant postgraduate medical
training body recognised by the Medical Council of Ireland will not be required to make a financial
contribution towards the cost of delivery of such programmes as they are defined in the
contractual arrangements.
c) Individual NCHDs working within the public health service and who are registered on and
participating in structured professional competence schemes, pursuant to the intended
introduction of such schemes under the provisions of the Medical Practitioners Act 2007, will not
be required to make a financial contribution towards the cost of delivery of such schemes as they
are defined in the contractual arrangements.
d) Pending the introduction of such arrangements by the HSE in line with the structure of the
academic year, the HSE / Employer up to the 30th June 2010 will refund costs incurred by the
NCHD:
8
This includes hours worked in excess of 39 hours for each week worked during the roster period which in themselves exceed
48 hours in any one week.
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i)
arising from continued registration and participation in programmes of specialist training
delivered under the auspices of the relevant postgraduate medical training body
recognised by the Medical Council of Ireland;
ii) previously claimable under the Postgraduate Medical and Dental Grant; and
iii) in respect of courses, examinations and attendance at clinical meetings – including travel
- that have been accredited by the relevant postgraduate training body as being
appropriate to the professional development of the NCHD.
Such costs must be vouched and refunds will be subject to the same controls as currently in
operation.
e) NCHDs will also benefit from the purchase and commissioning by the HSE / employer of generic
patient safety, mandatory training and skill courses, including, for example ACLS and infection
control.
16. Allowances and payments to General Practice Registrars
a) General Practice Registrars shall receive an allowance of €11,428 per annum in respect of out of
hours work and a payment of €3,809 per annum in respect of travelling expenses incurred while
attending patients. General Practice Registrars are also entitled to travelling expenses in respect
of attendance at training.
b) In accordance with the provisions of Labour Court Recommendation 19337, the HSE will
reimburse General Practice Registrars who are required to provide their own transport for the
carrying out of their duties, in respect of any additional loading over the normal cost of
comprehensive insurance cover for such individual, that may be imposed specifically arising from
the requirement to provide indemnification to the HSE as part of their insurance policy. Any such
additional cost must be verified by the insurance provider.
17. Incremental Credit
a) Incremental credit is granted to the NCHD in respect of:
i)
ii)
previous employment as an NCHD in Ireland.
time spent gaining an B.Sc degree in an appropriate specialty (Pathology, Anatomy,
Physiology),
iii) time spent gaining a postgraduate qualification provided that during such time (s)he was
actively engaged in hospital work,
iv) time spent working as a junior lecturer in anatomy.
v) time spent as a University Demonstrator between the completion of internship and
appointment to a non-consultant medical post will be regarded as being equivalent to
hospital experience for the purpose of determining an NCHD’s entry point to the scale
and his / her eligibility for appointment to registrar grade.
b) In relation to the appointment of a doctor to the post of registrar, he /she should have at least 24
months post qualification experience before being eligible for such an appointment.
c) An NCHD who takes up appointment as a Senior House Officer having previously held a
Registrar post will be placed on the equivalent point of the SHO salary scale.
d) Periods spent in vocational training schemes for general practice are reckonable for incremental
credit.
e) Locum NCHDs shall be granted incremental credit on the basis of previous recognised hospital
experience.
f)
An NCHD who was employed in foreign countries prior to taking up appointment in this country
may be granted incremental credit where the experience was obtained in a recognised teaching
hospital. Satisfactory evidence of same must be provided by the NCHD.
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g) Up to two years incremental credit shall be granted to Maxillo-facial trainees based on previous
postgraduate dental experience.
h) Assimilation to the Specialist Registrar salary scale shall be on the basis of completed years of
service as follows:
Year
2nd /
3rd
Specialist Registrar Point of Scale
1st Point
SHO
4th SHO and 1st Registrar
2nd Point
2nd Registrar
3rd Point
3rd Registrar
4th Point
4th Registrar
5th Point
i)
NCHDs appointed to posts of Senior Registrar who have been employed as Registrars for three
years or more will be granted one increment for each year or part of a year employed in excess of
the first three years. This shall be up to a maximum of three increments over and above the first
point on the Senior Registrar scale.
j)
Incremental credit is not granted to NCHDs in respect of:
i)
ii)
Service as locum general practitioner,
Service in a non-training post with the Irish Blood Transfusion Service.
18. Travelling expenses for attendance at interview
The NCHD shall be paid travelling expenses for attendance at interviews within the Irish public health
service at public service rates.
19. Relocation expenses
a) All NCHDs on approved rotation schemes are entitled to claim relocation expenses within the
state once per annum subject to a maximum payment of €500 in any case and such costs being
vouched.
b) The following expenses are covered:
i)
ii)
iii)
iv)
Removal expenses of an NCHDs furniture and effects from the old to the new house;
Local short-term storage (up to 3 months) when required due to housing difficulties;
Cost of insuring (i) and (ii) above at normal insurance rates;
The cost of one journey for the NCHD (and dependants) at appropriate public service
rates;
v) Expenses incurred in lease of principal residence when the NCHD is the owner /
occupier.
Original receipts must accompany any claims made.
20. Superannuation
On commencing employment, the NCHD will become a member of the HSE/VHSS/NHSS
Superannuation Scheme (delete as appropriate). A copy of the Superannuation Code is available
from the relevant HR Department and a statement of benefits will be provided on request. NCHDs are
covered by the provisions of the Public Service Superannuation Miscellaneous Provisions Act 2004.
21. Disciplinary / Grievance Procedures
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A copy of the Employer’s Disciplinary and Grievance Procedures will be issued to the NCHD upon
his/her commencement of employment. The NCHD shall comply with these procedures.
22. Policies and Procedures
The extent to which the Employer’s Policies and Procedures pertain to NCHDs is as outlined in the
Employer’s Terms and Conditions of Employment booklet.
23. Confidentiality
In the course of the NCHD’s employment he/she may have access to, or hear information concerning
the medical or personal affairs of patients and / or staff. Such records and information are strictly
confidential and in whatever format and wherever kept, must be safeguarded.
24. Records and Property
a) The NCHD should take all reasonable measures to ensure that records, while in his/her
possession, are stored in such a manner that ensures confidentiality, security and ready
accessibility for clinical staff when required for patient management.
b) The NCHD shall not remove from the work setting any records in any format, electronic or
otherwise, belonging to the Employer / Health Service Executive (HSE) at any time without having
authorisation. Such authorisation will be issued in advance of the first instance and apply
thereafter.
c) The NCHD will return to the Employer / HSE upon request, and, in any event, upon the
termination of his/her employment, all records and property and equipment belonging to the
Employer / HSE which are in his/her possession or control.
25. Clinical Indemnity
a) The NCHD will be provided with an indemnity under the Clinical Indemnity Scheme (administered
by the State Claims Agency – www.stateclaims.ie ) against the cost of meeting claims for
personal injury arising out of bona fide actions taken in the course of his/her employment.
b) This indemnity is in addition to the Employer’s(s’) Public Liability / Professional Indemnity /
Employer’s(s’) Liability in respect of the NCHD’s non-clinical duties arising under this contract.
c) ___________ (name of Employer) strongly advises and encourages the NCHD to take out
supplementary membership with a defence organisation or insurer of the NCHD’s choice, so that
the NCHD has adequate cover for matters not covered by the HSE / employing agency, such as
representation at disciplinary and fitness to practice hearings or Good Samaritan acts out of the
jurisdiction of the Republic of Ireland.
d) For details of the scheme please refer to the scope of coverage document available from the
State Claims Agency at http://www.stateclaims.ie/
26. Review
a) The terms and conditions of employment as set out in this contract will be reviewed in 2014 by the
representatives of the Employers and the NCHDs.
b) A Contract Implementation Committee, comprising representatives of the Employers and the
organisation(s) representing NCHDs will be established and meet semi-annually as required.
27. Acceptance of Contract
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a) This Contract, the associated Terms and Conditions and terms expressly incorporated by
reference or by statute contain the terms of the NCHD’s employment with _____ (insert name of
Employer).
b) The offer of this Contract by the Employer is subject to the NCHD accepting the offer within the
term specified by the Employer and in any event within two weeks.
c) Either party may withdraw from the offer or acceptance of the offer not later than two weeks prior
to date on which the term of employment is to commence.
d) The NCHD confirms his/her agreement to the following declaration by signing below:
i)
I declare that I am not the subject of any investigation by a medical registration or licensing
body or authority in any jurisdiction with regard to my medical practice or conduct as a
practitioner. I have not been suspended from registration nor had my registration or licence
cancelled or revoked by any medical registration or licensing body or authority in any
jurisdiction in the last ten years nor am I the subject of any current suspension or any
restrictions on practise. In addition, I confirm that I am not aware that I am the subject of any
criminal investigation by the police in any jurisdiction.
ii) I am aware of the qualifications and particulars of this position and I hereby declare that all
the particulars furnished by me are true. I hereby declare that to the best of my knowledge
there is nothing that would adversely affect the position of trust in which I would be placed by
virtue of this appointment.
iii) I understand that any false or misleading information submitted by me will render me liable to
automatic disqualification or termination of employment if already employed. I understand
that this appointment is subject to the receipt of appropriate registration with the Medical
Council, satisfactory references, Garda/Police Clearance and Occupational Health clearance.
iv) I have read and understood the Medical Council's 'Guide to Ethical Conduct and Behaviour'
and any other relevant guidance provided by the Medical Council in relation to ethical or
professional conduct. I undertake to apply the Medical Council's ethical and professional
conduct guidance to the clinical and professional situations in which I may work.
v) I have read this document and I hereby accept the post of _____________ in accordance
with the terms and conditions specified and I undertake to commence duty on
______________9.
Name (Block Capitals):
_____________________________
Signature of NCHD:
_____________________________
Initials used by NCHD:
_____________________________
NCHD’s Medical Council Registration Number: _____________________________
9
Date:
_____________________________
Employer (Block Capitals):
_____________________________
Signature on behalf of Employer:
_____________________________
Date:
_____________________________
To be included in the letter of offer sent to the NCHD before (s)he commences employment.
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Appendix I – NCHDs basic salary and allowances as of 1 January 2010
Intern
1
€30,257
Senior House Officer
1
€38,839
2
€40,998
3
€44,224
4
€46,334
5
€50,578
6
€52,687
7
€54,746
Registrar
1
€50,578
2
€52,687
3
€54,746
4
€56,260
5
€58,279
6
€60,305
Senior Registrar
1
€65,347
2
€67,392
3
€69,440
4
€71,621
5
€74,139
6
€76,762
7
€79,468
Specialist Registrar
1
€60,404
2
€61,855
3
€63,953
4
€66,840
5
€69,915
6
€72,995
7
€76,062
Living out allowance
Sunday / Public Holidays
NCHDs (A&E)
Day
Monday – Saturday
Sunday
Public Holidays
Monday – Sunday
Balance of Hours
€55.08 per week
Single time extra for each hour worked
Shift premium of T+1/6th where continuous rotating shift
over a 24 hour, 7 day week cycle applies
Overtime Rates
Overtime Payment
All overtime hours
All overtime hours
All overtime hours
Rate
T + 1/2
Tx2
Tx2
On off-site call rates
Half of all hours, up to a maximum of 10 hours spent on
call – T + ¼
½ 1/2 T
Additional payments are made to NCHDs who are rostered for on-call off site on Sunday for the first
eight hours as follows:
On call and frequently called upon
On call from home and infrequently called upon
0.75 T
0.6 T
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Appendix 5
Candidates who have resided overseas for a period of 6 months or more:
PLEASE NOTE: Garda clearance forms only cover addresses in the Republic of Ireland and
Northern Ireland.
Candidates who have resided in countries outside of the Republic of Ireland and Northern Ireland
for a period of 6 months or more, it will be mandatory to furnish the hiring site with a Police
Clearance Certificate from those countries stating that no convictions are recorded against you
while residing there. Candidates will need to provide a separate Police Clearance Certificate for
each country in which they have resided. Clearance must be dated after the date the candidate
left the country/countries.
Note: Candidates who studied outside of Ireland e.g. in the UK or elsewhere, please pay particular
attention to this. You will require UK and other overseas disclosures to cover the entire period you were
in that country. Clearance must be dated after you left the country.
The following websites may be of assistance to you in this regard:
www.met.police.uk
www.met.police.uk/dataprotection This covers the London area only.
www.police.uk/forces/forceslist.asp This website will provide you with a link to each police force site in the
UK. Click on the relevant force covering the area where you resided. A search under Data Protection or
Data Access Request or Subject Access Request will bring you to the relevant section of that Police
Forces website.
www.disclosurescotland.co.uk
www.south-wales.police.uk/fe
www.north-wales.police.uk
www.psni.police.uk
www.migrationint.com.au/office.asp (countries other than UK/NI)
www.crb.gov.uk (This website will provide you with a list of registered agencies to contact in the UK who
may process your request for UK clearance with the Criminal Records Bureau).
www.afp.gov.au This website will provide you with information on obtaining a national police clearance
certificate for Australia
www.courts.govt.nz This website will provide you with information on obtaining police clearance in New
Zealand.
For other countries not listed above you may find it helpful to contact the relevant embassies who could
provide you with information on seeking Police Clearance.
Candidates please do not send us your overseas clearance or any other documentation unless
specifically requested to do so. Candidates who receive job offers will have 5 working days in which to
produce the required documentation; otherwise the job offer will be withdrawn.
When requested, a copy of your Clearance will be retained on file and the original returned to you by post.
Any cost incurred in this process will be borne by the candidate.
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General
Review procedures and candidate obligations
The HSE will consider requests for review in accordance with the provisions of the codes of practice
published by the Commission for Public Service Appointments (CPSA). Where a candidate is
unhappy with an action or decision in relation to their application he/she can seek a review under
Section 7 of the code of practice governing the recruitment process by a person in the recruiting body
(initial reviewer). Where a candidate remains dissatisfied following this initial review, he/she may
seek to have the conduct of the initial review examined by a “decision arbitrator”.
As an alternative to the above, it is open to a candidate to seek to have the matter resolved on an
informal basis, as set out below. If a candidate remains dissatisfied following any such discussion it is
open to him/her to seek a formal review.
Informal process:
 The candidate can avail of the informal review within 5 working days of notification of the initial
decision, and should normally take place between the candidate and the person who
communicated the decision (or relevant person).
 Where the decision being conveyed relates to an interim stage of a selection process, the request
for informal review must be received within 2 working days of the date of receipt of the decision.
 Where a candidate remains dissatisfied following any such informal discussion, he/she may adopt
the formal procedures set out below.
 If the candidate wishes the matter to be dealt with by way of a formal review, he/she must do so
within 2 working days of the notification of the outcome of the informal review.
Formal process: Initial review:
 The candidate must address his/her concerns in relation to the process in writing to the Chief
Executive, setting out those aspects of the action or decision in relation to his/her candidature that
he/she wishes to have reviewed.
 A request for review must be made within 10 working days of the notification of the initial decision.
Where the decision relates to an interim stage of a selection process, the request for review must
be received within 4 working days.
 Any extension of these time limits will only be granted in the most exceptional of circumstances
and will be at the sole discretion of the Chief Executive.
 The outcome must generally be notified to the candidate within 20 working days of receipt of the
complaint or request for review. The candidate will receive the outcome of the review by means
of a written report.
 Should a candidate be dissatisfied with the outcome of the initial review, he/she may request a
review by a decision arbitrator of the conduct of the initial review.
Review by the decision arbitrator
The decision arbitrator is appointed by the Chief Executive. The decision arbitrator is unconnected
with the selection process and he/she will adjudicate on requests for review in cases where a
candidate is not satisfied with the outcome of the initial review. The decision of the decision arbitrator
in relation to such matters is final.
 A request made to the decision arbitrator must be received within 7 working days of the
notification of the outcome of the initial review.
 The outcome of the investigation must be notified to the candidate in the form of a written report
within 10 working days.
Where a candidate believes that an aspect of the process breached the CPSA’s Code of Practice,
he/she can have it investigated under Section 8 of the code of practice.
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Appendix 5 General Information
Informal process:

The CPSA recommends that the candidate avail of the informal process to try to resolve the
matter with the recruiting body. If the candidate is still dissatisfied he/she may resort to the formal
process within 2 working days of receiving notification of the informal process.
Formal process:



If you are requesting a formal review you must write to the licence holder (Chief Executive),
providing details of the breach of the code of practice and enclosing any relevant documentation
that might support the allegation.
The outcome must generally be notified to the candidate within 20 working days of receipt of the
complaint or request for review. If a decision cannot be made within this timeframe, the reviewer
will keep the candidate informed of the status of the review.
Should a candidate be dissatisfied with the outcome of this review, he/she may request a further
review by referring the matter to the Commission for Public Service Appointments in the form of
an appeal of the review of the licence Holder. He/She must write to the Commission for Public
Service Appointments within 10 working days of receiving the outcome of the licence Holder’s
review.
The codes of practice are available on the website of the Commission for Public Service
Appointments, www.cpsa-online.ie.
Candidates' Obligations
Candidates should note that canvassing will disqualify and will result in their exclusion from the
process. Candidates must not:
 knowingly or recklessly provide false information;
 canvass any person with or without inducements;
 interfere with or compromise the process in any way.
A third party must not personate a candidate at any stage of the process.
Any person who contravenes the above provisions or who assists another person in contravening the
above provisions is guilty of an offence. A person who is found guilty of an offence is liable to a fine/or
imprisonment. In addition, where a person found guilty of an offence was or is a candidate at a
recruitment process, then:


where he/she has not been appointed to a post, he/she will be disqualified as a candidate;
and
where he/she has been appointed subsequently to the recruitment process in question,
he/she shall forfeit that appointment.
Deeming of candidature to be withdrawn
Candidates who do not attend for interview or other test when and where required by the Public
Appointments Service / Health Service Executive, or who do not, when requested, furnish such
evidence, as the Public Appointments Service / Health Service Executive require in regard to any
matter relevant to their candidature, will have no further claim to consideration.
Quality Customer Service
We aim to provide an excellent quality service to all our customers. If, for whatever reason, you are
unhappy with any aspect of the service you receive from us, we urge you to bring this to the attention
of the unit or staff member concerned. This is important as it ensures that we are aware of the
problem and can take the appropriate steps to resolve it.
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Data Protection Acts 1988 & 2003:
When your application form is received, we create a record in your name, which contains much of the
personal information you have supplied. This personal record is used solely in processing your
candidature and should you be successful certain information you provide will be forwarded to the
employing organisation. Such information held is subject to the rights and obligations set out in the
Data Protection Acts, 1988 & 2003. To make a request under the Data Protection Acts 1988 & 2003,
please submit your request in writing to: THE DATA PROTECTION CO-ORDINATOR, PUBLIC
APPOINTMENTS SERVICE, “CHAPTER HOUSE”, 26-30 ABBEY STREET UPPER, DUBLIN 1,
ensuring that you describe the records you seek in the greatest possible detail to enable us to identify
the relevant record. A fee of €6.35 should accompany your request. Payment should be made by
way of bank draft, money order, or personal cheque, made payable to the ‘Public Appointments
Service’. Certain items of information, not specific to any individual, are extracted from records for
general statistical purposes.
Exposure Prone Procedure Posts:
The Department of Health and Children have announced new guidance on the pre-employment
medical screening of health care workers for blood borne diseases, who perform Exposure Prone
Procedures (EPP’s) as part of their work. These are contained in the Department of Health and
Children Document ‘Prevention of Blood Borne Diseases in the Health-Care Setting’. This document
can be obtained at www.dohc.ie or by contacting the Department of Health and Children (00353 (0)16354000)
The successful candidate must provide satisfactory documentary evidence that he/she is not an
infectious carrier of the Hepatitis B or Hepatitis C virus. Such documentation would include an original
laboratory report or a certified copy (photocopies, faxes, e-mails not acceptable) showing
Hepatitis B surface antigen (HBs Ag),
Hepatitis B anti-core antibody (anti- HBc)
Anti- Hepatitis B surface antibody (Anti HBs).
Antibodies to Hepatitis C virus and if positive for Hepatitis C virus RNA.
Testing must be done in the designated occupational health department of a current Public Training
Hospital or the Civil Service Occupational Health Department (CSOHD), and applicants will have to
produce proof of identity (passport). Applicants will have to attend at their own expense for this
testing. Additional visit(s) may be required depending on the test results.
Candidates who are successful at interview may not be made a job offer if they are found to be at risk
of potentially transmitting infection to patients, or alternatively they may be appointed subject to
certain conditions.
While the guidance does not currently recommend HIV testing at present, it re-iterates Irish Medical
Council Ethical Guidelines that any healthcare worker who suspects that s/he may have been
exposed to blood borne viruses through work or other risk behaviours must seek professional advice
and diagnostic testing. Your attention is drawn to this.
Outside Employment:
The position will be whole time. The NCHD may engage in professional medical/dental practice
exclusively for an Employer(s) and on behalf of the Mental Health Commission, the Coroner, other
Irish statutory bodies10 and medical/dental education and training bodies recognised by the Medical
Council of Ireland. Sections 5 m) and 10 f) of Appendix A (NCHD contract).
10
An indicative list of such bodies is available from the HSE Employers Agency, 63-64 Adelaide Road, Dublin 2,
Tel: 01 6626966, web: www.hseea.ie
NCHD Child & Adolescent Psychiatry
NCHD General Adult Psychiatry
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